Provider Demographics
NPI:1144430877
Name:VAZQUEZ, FRANCESVILDA (RPH)
Entity type:Individual
Prefix:
First Name:FRANCESVILDA
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 VIA AVENTURA
Mailing Address - Street 2:APT. 6107
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6184
Mailing Address - Country:US
Mailing Address - Phone:787-245-2264
Mailing Address - Fax:
Practice Address - Street 1:4203 CALLE MARGINAL
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-3652
Practice Address - Country:US
Practice Address - Phone:787-860-1603
Practice Address - Fax:787-860-1614
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist