Provider Demographics
NPI:1508455890
Name:VASQUEZ, BEATRIZ ADRIANA
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:ADRIANA
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BEATRIZ
Other - Middle Name:ADRIANA
Other - Last Name:TOVAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2310 E SAUNDERS ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5435
Mailing Address - Country:US
Mailing Address - Phone:956-724-1141
Mailing Address - Fax:
Practice Address - Street 1:2310 E SAUNDERS ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5435
Practice Address - Country:US
Practice Address - Phone:956-724-1141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician