Juan Carlos Vazquez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2878 Issued in PR

Practice address

10 Casia Street
VA Caribbean Healthcare System
San Juan, PR 00921-0000

Phone

(787) 641-7582

NPI assigned

Jul 8, 2010

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1326350315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600302",
            "telephone_number": "787-938-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CASIA STREET",
            "address_2": "VA CARIBBEAN HEALTHCARE SYSTEM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009210000",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2878",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto R Vazquez, M.D.
• Ian Javier Vazquez, LND, RD
• Idel A Vazquez, M.D.
• Jorge Vazquez, MD
• Jorge Fernando Vazquez, M.D.
• Kathia Nair Vazquez
• Liza Vazquez, M.D.
• Lourdes Vazquez, MD
• Maria Del Carmen Vazquez, BSN
• Meisali Mariel Vazquez, M.D.

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.