Kenneth Shaquille Vazquez
Kenneth Shaquille Vazquez is a Substance Abuse Rehabilitation Facility in Bayamon, Puerto Rico. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address may be wrong
100 Ave LaurelBayamon, PR 00956-4816
Phone: (787) 579-5581
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1235832163 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2023 |
| Last updated in NPPES | March 22, 2023 |
| Certification date | March 20, 2023 |
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