Provider Demographics
NPI:1922999853
Name:VAZQUEZ ORTEGA, SHEILA (OT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:VAZQUEZ ORTEGA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743
Mailing Address - Street 2:
Mailing Address - City:SABANA HOYOS
Mailing Address - State:PR
Mailing Address - Zip Code:00688-0743
Mailing Address - Country:US
Mailing Address - Phone:939-273-1288
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 743
Practice Address - Street 2:
Practice Address - City:SABANA HOYOS
Practice Address - State:PR
Practice Address - Zip Code:00688-0743
Practice Address - Country:US
Practice Address - Phone:939-273-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR742225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty