Individual
IVETTE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA PSYCHOLOGIST
Contact information
Practice address
CALLE MIGUEL CASILLAS NO 50, HUMACAO, PR 00792-8990
(787) 852-6752
(787) 285-8229
Mailing address
HC 04 BOX 4278, HUMACAO, PR 00791-9448
(787) 852-6752
(787) 285-8229
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2451
PR
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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