Provider Demographics
NPI:1225064199
Name:VAZQUEZ ARANGO, LUCIA INES (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:INES
Last Name:VAZQUEZ ARANGO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 CALLE WILSON
Mailing Address - Street 2:APT 1001
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1718
Mailing Address - Country:US
Mailing Address - Phone:787-603-8913
Mailing Address - Fax:
Practice Address - Street 1:1413 AVE FERNANDEZ JUNCOS PODIATRY CENTER BUILDING
Practice Address - Street 2:SUITE 3 E
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2649
Practice Address - Country:US
Practice Address - Phone:787-723-3583
Practice Address - Fax:787-723-4618
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1315103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRS55698Medicare UPIN