Provider Demographics
NPI:1790572501
Name:VAZQUEZ, FRANK L (BSAT)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:VAZQUEZ
Suffix:
Gender:M
Credentials:BSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 MADISON AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18510-2417
Mailing Address - Country:US
Mailing Address - Phone:239-321-0714
Mailing Address - Fax:
Practice Address - Street 1:531 MADISON AVE APT 1A
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2417
Practice Address - Country:US
Practice Address - Phone:239-321-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program