NPI 1235832163
Kenneth Shaquille Vazquez
Practice location
- Address
- 100 Ave Laurel, Bayamon, PR 00956-4816
- Phone
- (787) 579-5581
- Mailing address
- Carr #2 Km 8.2 Juan Sanchez, Bayamon, PR 00960
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1235832163
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Mar 2023
- Record last updated
- 22 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.