Provider Demographics
NPI:1538870118
Name:VAZQUEZ SANTIAGO, ANABEL
Entity type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:VAZQUEZ SANTIAGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 CLEARY WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6455
Mailing Address - Country:US
Mailing Address - Phone:213-271-3873
Mailing Address - Fax:
Practice Address - Street 1:3834 CLEARY WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6455
Practice Address - Country:US
Practice Address - Phone:213-271-3873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No171M00000XOther Service ProvidersCase Manager/Care Coordinator