Provider Demographics
NPI:1407125586
Name:PALENCIA-VASQUEZ, SENG (RN)
Entity Type:Individual
Prefix:
First Name:SENG
Middle Name:
Last Name:PALENCIA-VASQUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5788 WINFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-1969
Mailing Address - Country:US
Mailing Address - Phone:954-294-7135
Mailing Address - Fax:
Practice Address - Street 1:5788 WINFIELD BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-1969
Practice Address - Country:US
Practice Address - Phone:954-294-7135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9321096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse