MEDICARE: DR. JUAN J. LOJO-VAZQUEZ M.D.

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
1	208600000X	Surgery Physician	4198	PR

General Provider Information

NPI Number	:	1265416028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN J. LOJO-VAZQUEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11698
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00922-1698
Country	:	US
Telephone Number	:	787-758-7781
Fax Number	:

Provider Business Practice Location Address
First Line	:	282 AVE PINERO
Second Line	:	207 EL AMAL
City	:	SAN JUAN
State	:	PR
Zip	:	00927-3921
Country	:	US
Telephone Number	:	787-758-7781
Fax Number	:	787-758-7781

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	03/09/2018

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