Provider Demographics
NPI:1033093455
Name:VAZQUEZ, FABIOLA ZOE (MA)
Entity type:Individual
Prefix:
First Name:FABIOLA
Middle Name:ZOE
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 CALLE OTONO
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9387
Mailing Address - Country:US
Mailing Address - Phone:787-428-7280
Mailing Address - Fax:
Practice Address - Street 1:214 CALLE OTONO
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-9387
Practice Address - Country:US
Practice Address - Phone:787-428-7280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling