Active NPIIndividual providerSole proprietor

Kenneth S Vazquez

Substance Abuse Rehabilitation Facility in Bayamon, Puerto Rico

NPI Number1235832163
Practice location
100 Ave Laurel, Bayamon, PR 00956-4816
Fax
—
Last updated
March 22, 2023

Kenneth Shaquille Vazquez is a Substance Abuse Rehabilitation Facility based in Bayamon, PR. Kenneth Shaquille Vazquez practices in Bayamon, PR. The NPI Number for Kenneth Shaquille Vazquez is 1235832163. The current practice location address for Kenneth Shaquille Vazquez is 100 Ave Laurel, Bayamon, PR 00956-4816 and can be reached out via phone at 787-579-5581.

Provider Profile Details

NPI Number
1235832163
Provider Name
Kenneth Shaquille Vazquez
Provider Entity Type
Individual
Gender
Male
Address
100 Ave Laurel, Bayamon, PR 00956-4816
Phone Number
787-579-5581
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2023
Last Update Date
March 22, 2023
Certification Date
March 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Ave Laurel
Bayamon, PR 00956-4816
Zip
00956-4816
Phone Number
787-579-5581
Bayamon, PR 00956Get directions →

Provider Business Mailing Address Details

Address
Carr #2 Km 8.2 Juan Sanchez
Bayamon, PR 00960
City
Bayamon
State
PR
Zip
00960
Phone Number
787-579-5581

License Information

Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth S Vazquez?

The NPI number of Kenneth S Vazquez is 1235832163. It was assigned on March 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Kenneth S Vazquez?

Kenneth S Vazquez is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).

Where does Kenneth S Vazquez practice?

The practice location is 100 Ave Laurel, Bayamon, PR 00956-4816. The office can be reached at 787-579-5581 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235832163 directly on the NPPES registry website.

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