Provider Demographics
NPI:1558243436
Name:VAZQUEZ, OSCAR ALEJANDRO JR
Entity type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:ALEJANDRO
Last Name:VAZQUEZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250129
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0129
Mailing Address - Country:US
Mailing Address - Phone:787-239-6403
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 250129
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00604-0129
Practice Address - Country:US
Practice Address - Phone:787-239-6403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program