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NPI Code Detail

MEDICARE: ROBERTO JORGE VAZQUEZ VAZQUEZ

MEDICARE: ROBERTO JORGE VAZQUEZ VAZQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist8324PR

General Provider Information

NPI Number : 1164349676
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO JORGE VAZQUEZ VAZQUEZ
Provider Business Mailing Address
First Line : 141 CALLE LUQUILLO APT 4
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-5568
Country : US
Telephone Number : 787-999-7620
Fax Number :
Provider Business Practice Location Address
First Line : 1395 CALLE SAN RAFAEL
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2518
Country : US
Telephone Number : 787-999-7620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2026
Last Update Date : 07/04/2026

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Directions to “ ROBERTO JORGE VAZQUEZ VAZQUEZ ” Practice Location

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