Individual
IVELIZ VAZQUEZ-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, OTL
Contact information
Practice address
1735 CARR 844, SAN JUAN, PR 00926-4446
(787) 647-1266
Mailing address
410 CALLE DRESDE, VILLA BORINQUEN, SAN JUAN, PR 00920-3709
(787) 645-0873
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
741
PR
225XP0200X
Pediatric Occupational Therapist
741
PR
Other
Enumeration date
05/28/2010
Last updated
01/23/2025
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