Healthcare Provider Details

I. General information

NPI: 1982575684
Provider Name (Legal Business Name): VERONICA VAZQUEZ ORTEGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 CARR 2
BAYAMON PR
00959-5240
US

IV. Provider business mailing address

HC 5 BOX 6722
AGUAS BUENAS PR
00703-9087
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-9176
  • Fax:
Mailing address:
  • Phone: 787-697-8936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number8456
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: