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Contact Information

NICOLAS E CENTENO VAZQUEZ
1330 LAKE FRANCIS DR
APOPKA, FL32712-2120
 Phone: 787-370-9628
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NICOLAS E CENTENO VAZQUEZ · (Male)

NPI Number 1598912032
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2008
Last updated 08/15/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 879
  • PR Other 879 PUERTO RICO MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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