Active NPI
Fernando Jose Vazquez
- Specialist
- Toa Baja, PR
National Provider Identifier
1861926107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- BTA100601-7
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BTA100601-7 | PR | MD | Kinesiotherapist |
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.