# SOFIA VAZQUEZ CHACON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093775454
- **Gender:** F
- **Credential:** PT, EMTB, USAR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1216 | PR | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 03/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3304248 | ACAA | PR |
| 01 | — | 39425 | PROSAM | PR |
| 01 | — | 5-6763 | TRIPLE-S | PR |
| 01 | — | 6500002 | HUMANA | PR |
| 01 | — | 660632297 | MCS CLASSICARE | PR |
| 01 | — | 890415 | MMM | PR |
| 01 | — | PE4755 | PALIC | PR |