Provider Demographics
NPI:1477321388
Name:VAZQUEZ, HEMYLIE A (MD)
Entity Type:Individual
Prefix:MRS
First Name:HEMYLIE
Middle Name:A
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:MD
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 329
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0329
Mailing Address - Country:US
Mailing Address - Phone:787-559-9347
Mailing Address - Fax:
Practice Address - Street 1:BO. MAMBICHE PRIETO, CARR. 927 RAMAL 938 KM 1.5
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-0329
Practice Address - Country:US
Practice Address - Phone:787-559-9347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4571235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist