Provider Demographics
NPI:1457240384
Name:FLORES VAZQUEZ, ROSA ABIGAIL (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROSA
Middle Name:ABIGAIL
Last Name:FLORES VAZQUEZ
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:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-0399
Mailing Address - Country:US
Mailing Address - Phone:787-568-3010
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 399
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00970-0399
Practice Address - Country:US
Practice Address - Phone:787-568-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8406103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty