Provider Demographics
NPI:1750066759
Name:VAZQUEZ SILVA, AYXA SUZZETTE (THL)
Entity type:Individual
Prefix:
First Name:AYXA
Middle Name:SUZZETTE
Last Name:VAZQUEZ SILVA
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CAMINO LOS BAEZ APT 512
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9635
Mailing Address - Country:US
Mailing Address - Phone:787-379-4587
Mailing Address - Fax:
Practice Address - Street 1:13 CAMINO LOS BAEZ APT 512
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-9635
Practice Address - Country:US
Practice Address - Phone:787-379-4587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0040052355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant