Provider Demographics
NPI:1760816250
Name:OCASIO VAZQUEZ, MARITZA H (MSW)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:H
Last Name:OCASIO VAZQUEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4R31 CALLE ROBLE
Mailing Address - Street 2:URB LOMAS VERDES
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-460-6432
Mailing Address - Fax:
Practice Address - Street 1:CALLE CUBA LIBRE A-1
Practice Address - Street 2:MUCARABONES
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00963-0000
Practice Address - Country:US
Practice Address - Phone:872-467-0644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11785104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR11785OtherSOCIAL WORKER