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Contact Information

KENNETH S VAZQUEZ
100 AVE LAUREL
BAYAMON, PR00956-4816
 Phone: 787-579-5581
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for KENNETH S VAZQUEZ · (Male)

NPI Number 1235832163
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2023
Last updated 03/22/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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