Individual
EDWIN I VAZQUEZ CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
EDIFICIO PROFESIONAL DE SANTA ISABEL SUITE 101, CARR 153 KM 7.5 BARRIO USERAS, SANTA ISABEL, PR 00757-0000
(787) 579-4370
Mailing address
URB. ESTANCIAS DE SANTA ISABEL, 115 CALLE AMATISTA, SANTA ISABEL, PR 00757-0000
(787) 579-4370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16361
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039599700
—
PR
Enumeration date
05/08/2023
Last updated
11/01/2024
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