Individual
SOFIA VAZQUEZ CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, EMTB, USAR
Contact information
Practice address
CARR 2 KM 87.1, HATILLO, PR 00659
(787) 466-9466
(787) 680-7303
Mailing address
P.O. BOX 2083, HATILLO, PR 00659-9083
(787) 466-9466
(787) 822-0710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1216
PR
Other
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
CIGNA
PR
01
—
890415
MMM
PR
01
—
PE4755
PALIC
PR
Enumeration date
03/27/2006
Last updated
03/13/2019
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