Individual
MRS. LIZA RIVERA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
CENTRAL FLORIDA KIDNEY CENTER, 401 SOUTH CHICKASAW TRAIL,, ORLANDO, FL 32825
(407) 434-8910
Mailing address
HC 1 BOX 26764, CAGUAS, PR 00725-8963
(254) 338-1472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28462
PR
163WE0003X
Emergency Registered Nurse
28462
PR
163WW0000X
Wound Care Registered Nurse
28462
PR
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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