Healthcare Provider Details

I. General information

NPI: 1801709746
Provider Name (Legal Business Name): HAZEL MARIE GONZALEZ VARGAS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVE LA SIERRA APT N-212
SAN JUAN PR
00926-4316
US

IV. Provider business mailing address

100 AVE LA SIERRA APT N-212
SAN JUAN PR
00926-4316
US

V. Phone/Fax

Practice location:
  • Phone: 787-221-9344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8723
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: