Individual
MRS. AUREA VAZQUEZ SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORK
Contact information
Practice address
CENTRO DETOXIFICACION ASSMCA, AVE.TITO CASTRO CARR.14, PONCE, PR 00732
(787) 840-6935
(787) 840-6935
Mailing address
2909 CALLE AMAZONAS, PONCE, PR 00728-1735
(787) 848-6728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4680
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4680
SOCIAL WORK LICENCE
PR
Enumeration date
06/06/2007
Last updated
07/08/2007
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