Fernando J Vazquez, PHD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

289 Issued in PR

Practice address

1007 Ave Munoz Rivera
Edificio Darlington Oficina 1001
San Juan, PR 00925-2717

Phone

(787) 765-5355

Fax

(787) 765-5346

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851458814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361372",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361372",
            "telephone_number": "787-765-5355",
            "fax_number": "787-765-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 AVE MUNOZ RIVERA",
            "address_2": "EDIFICIO DARLINGTON OFICINA 1001",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252717",
            "telephone_number": "787-765-5355",
            "fax_number": "787-765-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "FERNANDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brunilda Vazquez, MD
• Carlos Vazquez, 4864958
• Carlos Javier Vazquez, PH.D.
• Cinthia M Vazquez, R.D.
• Deborah Vazquez
• Gustavo Vazquez III, MD
• Gustavo Vazquez Jr., MD
• Hector Antonio Vazquez, M.D.
• Heriberto Vazquez
• Humberto R Vazquez, M.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.