Provider Demographics
NPI:1942345533
Name:VAZQUEZ, BETZAIDA (BSN RN)
Entity Type:Individual
Prefix:MRS
First Name:BETZAIDA
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:B
Other - Middle Name:
Other - Last Name:BAZQUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN
Mailing Address - Street 1:PO BOX 1794
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-1794
Mailing Address - Country:US
Mailing Address - Phone:787-266-1136
Mailing Address - Fax:
Practice Address - Street 1:CALLE MUNOZ RIVERA #15
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767
Practice Address - Country:US
Practice Address - Phone:787-893-3060
Practice Address - Fax:787-893-2308
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR29601163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care