Provider Demographics
NPI:1043974454
Name:LINARES VASQUEZ, MARIA LETICIA
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LETICIA
Last Name:LINARES VASQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 ST KITTS CT APT 2102
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2555
Mailing Address - Country:US
Mailing Address - Phone:407-633-2655
Mailing Address - Fax:
Practice Address - Street 1:3515 ST KITTS CT APT 2102
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2555
Practice Address - Country:US
Practice Address - Phone:407-633-2655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management