Individual provider Active NPI

Fernando Jose Vazquez

  • Specialist
  • Toa Baja, PR
National Provider Identifier
1861926107
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BTA100601-7 Issued in PR
Practice address
He46 Calle Domingo de Andino
Toa Baja, PR 00949-3623
Phone
(787) 627-9530
NPI assigned
Apr 13, 2017
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BTA100601-7 PR Primary
Kinesiotherapist 226300000X BTA100601-7 PR
Integrative Medicine Physician 202D00000X 2120432 PR

Addresses

Primary practice location

He46 Calle Domingo de Andino
Toa Baja, PR 00949-3623

Mailing address

He46 Calle Domingo de Andino
Toa Baja, PR 00949-3623
Phone (787) 627-9530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BTA100601-7PRMDKinesiotherapist

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1861926107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HE46 CALLE DOMINGO DE ANDINO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493623",
            "telephone_number": "787-627-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HE46 CALLE DOMINGO DE ANDINO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493623",
            "telephone_number": "787-627-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "FERNANDO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "BTA100601-7",
            "primary": true
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "PR",
            "license": "BTA100601-7",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "PR",
            "license": "2120432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.