Provider Demographics
NPI:1184415085
Name:VASQUEZ, MARIA ROXANNE (RN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ROXANNE
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 POTOMAC CT
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-1708
Mailing Address - Country:US
Mailing Address - Phone:956-740-9807
Mailing Address - Fax:
Practice Address - Street 1:3105 POTOMAC CT
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-1708
Practice Address - Country:US
Practice Address - Phone:956-740-9807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1061069163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical