LOURDES A. GONZALEZ VAZQUEZ


Address: Ave. Munoz Rivera 1007, Edificio Darlington Oficina 902, San Juan, PR 00927
Phone: 7875291802

LOURDES A. GONZALEZ VAZQUEZ (NPI# 1427675347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427675347
Entity Type Individual
Full Name LOURDES A. GONZALEZ VAZQUEZ
Practice Address Ave. Munoz Rivera 1007
Edificio Darlington Oficina 902
San Juan
PR 00927
Mailing Address Ave. Americo Miranda 401
Coop Los Robles 806-b
San Juan
PR 00927
Practice Telephone 7875291802
Mailing Telephone 7875291802
Enumeration Date 2020-06-26
Last Update Date 2020-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2113 PR Behavioral Health & Social Service Providers

Office Location

Street Address AVE. MUNOZ RIVERA 1007
EDIFICIO DARLINGTON OFICINA 902
City SAN JUAN
State PR
Zip Code 00927

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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City SAN JUAN
Zip Code 00927

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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