Provider Demographics
NPI:1184347148
Name:VAZQUEZ, KATHIA NAIR
Entity type:Individual
Prefix:
First Name:KATHIA
Middle Name:NAIR
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NOVA SOUTHEASTERN UNIVERSITY COLLEGE OF PHARMACY
Mailing Address - Street 2:997 CALLE SAN ROBERTO PROFESSIONAL OFFICES PARK IV
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-773-6567
Mailing Address - Fax:
Practice Address - Street 1:NOVA SOUTHEASTERN UNIVERSITY COLLEGE OF PHARMACY
Practice Address - Street 2:997 CALLE SAN ROBERTO PROFESSIONAL OFFICES PARK IV
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-773-6567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program