MEDICARE: DR. JOSE E VAZQUEZ COLON D.C.

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	111N00000X	Chiropractor	276	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	074034	OTHER	PR	LA CRUZ AZUL DE PUERTO RI
2	233075	OTHER	PR	PREFERRED HEALTH, PR
3	6740	OTHER	PR	FIRST MEDICAL, PUERTO RIC
4	9090104	OTHER	PR	HUMANA, PUERTO RICO
5	CP-1040	OTHER	PR	PALIC, PUERTO RICO
6	73539	OTHER	PR	TRIPLE S, PUERTO RICO

General Provider Information

NPI Number	:	1225034747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE E VAZQUEZ COLON D.C.

Provider Business Mailing Address
First Line	:	CALLE RANADA, NE-1
Second Line	:	MANSION DEL RIO
City	:	TOA BAJA
State	:	PR
Zip	:	00963
Country	:	US
Telephone Number	:	787-268-7011
Fax Number	:	787-268-7011

Provider Business Practice Location Address
First Line	:	HF16 CALLE LIZZIE GRAHAM
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00949-3634
Country	:	US
Telephone Number	:	787-268-7011
Fax Number	:	787-268-7011

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	11/04/2025

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Directions to “ DR. JOSE E VAZQUEZ COLON D.C.” Practice Location

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