Active NPIIndividual providerSole proprietor

Ian J Vazquez, LND, RD

Dietitian, Registered in San Juan, Puerto Rico

NPI Number1629625850
Practice location
1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909
Fax
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Last updated
January 2, 2025

Ian Javier Vazquez is a Dietitian, Registered based in San Juan, PR. Ian Javier Vazquez practices in San Juan, PR and has the professional credentials of LND, RD. The NPI Number for Ian Javier Vazquez is 1629625850 and holds a License No. 2104 (PR). The current practice location address for Ian Javier Vazquez is 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 and can be reached out via phone at 787-230-7530.

Provider Profile Details

NPI Number
1629625850
Provider Name
Ian Javier Vazquez
Credential
LND, RD
Provider Entity Type
Individual
Gender
Male
Address
1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909
Phone Number
787-230-7530
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2019
Last Update Date
January 2, 2025
Certification Date
January 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1456 Calle Prof. Augusto Rodriguez
San Juan, PR 00909
Zip
00909
Phone Number
787-230-7530
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
Urb. Lomas Verdes
2 J 10 Calle Flamboyan
Bayamon, PR 00956-3429
City
Bayamon
State
PR
Zip
00956-3429
Phone Number
787-662-6348

License Information

License Number
2104
License State
PR
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ian J Vazquez, LND, RD?

The NPI number of Ian J Vazquez, LND, RD is 1629625850. It was assigned on August 22, 2019 and is currently active in the NPPES registry.

What is the specialty of Ian J Vazquez, LND, RD?

Ian J Vazquez, LND, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 2104.

Where does Ian J Vazquez, LND, RD practice?

The practice location is 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909. The office can be reached at 787-230-7530 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629625850 directly on the NPPES registry website.

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