Ian Javier Vazquez, LND, RD
Dietitian, Registered in San Juan, PR. Individual provider (NPI-1).
NPI number1629625850
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1629625850
- Entity type
- Individual (NPI-1)
- Name
- Ian Javier Vazquez
- Credential
- LND, RD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2019
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2104 | PR | Yes |
Practice location
1456 Calle Prof. Augusto RodriguezSan Juan, PR 00909
Phone 787-230-7530
Mailing address
Urb. Lomas Verdes2 J 10 Calle Flamboyan
Bayamon, PR 00956-3429
Phone 787-662-6348
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All 103 Registered Dietitian providers in San Juan · All 12,122 providers in San Juan
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