Excellent reviews on central N-methyl-D-Aspartate receptor (NMDAR) signaling and function in cardiovascular regulating neuronal pools have been reported. However, much less attention has been given to NMDAR function in peripheral tissues, particularly the heart and vasculature, although a very recent review discusses such function in the kidney. In this short review, we discuss the NMDAR expression and complexity of its function in cardiovascular tissues. In conscious (contrary to anesthetized) rats, activation of the peripheral NMDAR triggers cardiovascular oxidative stress via the PI3K-ERK1/2-NO signaling pathway, which ultimately leads to elevation in blood pressure. Evidence also implicates Ca2+ release, in the peripheral NMDAR-mediated pressor response. Despite evidence of circulating potent ligands (e.g. D- and L-aspartate, L-homocysteic acid and quinolonic acid) as well as their co-agonist (e.g. glycine or D-serine), the physiological role of peripheral cardiovascular NMDAR remains elusive. Nonetheless, the cardiovascular relevance of the peripheral NMDAR might become apparent when its signaling is altered by drugs, like alcohol, which interact with the NMDAR or its downstream signaling mechanisms.