Provider Demographics
NPI:1235492729
Name:VAZQUEZ, FRANCISCO (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:FRANCISCO
Other - Middle Name:
Other - Last Name:VAZQUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:COLLEGE PARK
Mailing Address - Street 2:1850 GLASGOW ST
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4813
Mailing Address - Country:US
Mailing Address - Phone:787-281-2222
Mailing Address - Fax:787-790-4229
Practice Address - Street 1:1850 CALLE GLASGOW
Practice Address - Street 2:COLLEGE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4813
Practice Address - Country:US
Practice Address - Phone:787-281-2222
Practice Address - Fax:787-790-4229
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR126103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist