MR. JUAN M VASQUEZ (NPI# 1912046566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912046566 |
Entity Type | Individual |
Full Name | MR. JUAN M VASQUEZ |
Credential | NONE |
Practice Address |
9264 S. Wilt Bank Road Tucson AZ 85735 |
Mailing Address |
9264 S. Wilt Bank Rd. Tucson AZ 85735 |
Practice Telephone | 5204400630 |
Practice Fax Number | 5203195491 |
Mailing Telephone | 5204400630 |
Mailing Fax Number | 5203195491 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 2433 | AZ | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BEHAVIORAL HEALTH NUMBER | 2433 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730719337 | Juan Elias Vasquez | Audiologist | 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 | 2020-01-22 |
1396167417 | Juan E Vasquez | Respiratory Therapist, Registered | 1515 Colima St, San Antonio, TX 78207-5908 | 2014-01-08 |
1154667590 | Juan Valentin Vasquez | Physical Therapist | 2301 S 17th St, Unit 2, Wilmington, NC 28401-7901 | 2012-12-12 |
1477593713 | Juan C Vasquez | Surgery | 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 | 2006-06-07 |
1861092876 | Juan Antonio Vasquez | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-10-28 |
1740508050 | Juan Vasquez | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2010-05-11 |
1093981607 | Juan Gabriel Vasquez | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2008-05-03 |
1912021320 | Juan C. Vasquez | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2007-03-19 |
1750364881 | Juan Angel Vasquez | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-22 |
Street Address |
9264 S. WILT BANK ROAD |
City | TUCSON |
State | AZ |
Zip Code | 85735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033756358 | Native Music Coalition | Residential Treatment Facility, Emotionally Disturbed Children | 5150 S Crazy Cat Ln, Tucson, AZ 85735 | 2019-12-05 |
1295023976 | Ana Lillian Aguilar | Contractor | 22405 W Bush Rd, Tucson, AZ 85735 | 2011-07-15 |
1558343012 | Amy N Brunsvold | Nurse Practitioner | 15921 W Ajo Way, Tucson, AZ 85735 | 2005-11-18 |
1609354992 | Angela M Robbins | Nurse Practitioner | 15921 W Ajo Hwy, Tucson, AZ 85735 | 2018-07-30 |
1366637456 | Charlene A Gundry | Nurse Practitioner | 15921 W Ajo Way, Tucson, AZ 85735 | 2007-09-11 |
1619001492 | Debra E Stamp | Nurse Practitioner | 15921 W Ajo Way, Tucson, AZ 85735 | 2007-03-15 |
1316999790 | United Community Health Center - Maria Auxiliadora, Inc. | Clinic/Center | 15921 W Ajo Way, Tucson, AZ 85735 | 2006-05-16 |
1760633804 | Edna Mercedes Canaletti | Respite Care | 7250 W Bopp Rd, Tucson, AZ 85735-1101 | 2008-10-07 |
1922488907 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 15390 W Ajo Hwy, Tucson, AZ 85735-2023 | 2015-06-04 |
1699125047 | Community Intervention Assciates, Inc | Community/Behavioral Health | 15390 W Ajo Hwy, Tucson, AZ 85735-2023 | 2016-06-16 |
Find all providers in zip 85735 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811519705 | Rhema Home | Community Based Residential Treatment Facility, Mental Illness | 5959 S Rowan Ct, Tucson, AZ 85706-0005 | 2020-05-13 |
1063059525 | Dream Builders of Arizona | Community Based Residential Treatment Facility, Mental Illness | 5115 W Sumter Dr, Tucson, AZ 85742-8247 | 2019-12-04 |
1548817497 | Christus Group Home | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2019-08-23 |
1255983037 | Devereux Arizona | Community Based Residential Treatment Facility, Mental Illness | 2000 E Spring St, Tucson, AZ 85719-3428 | 2019-07-12 |
1194280479 | Tender Loving Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 509 S Staunton Dr, Tucson, AZ 85710-6254 | 2019-01-31 |
1649755562 | Winam Behavioral Services | Community Based Residential Treatment Facility, Mental Illness | 534 S Kenyon Dr, Tucson, AZ 85710-4645 | 2018-09-26 |
1699226068 | Codac Health, Recovery & Wellness, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2482 N Palo Verde Ave, Tucson, AZ 85716-2548 | 2016-10-20 |
1255881355 | Codac Health, Recovery & Wellness, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4801 E Helen St, Tucson, AZ 85712-4717 | 2016-10-12 |
1245787043 | Community Partners Integrated Healthcare, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2502 N Dodge Blvd Ste 190-west, Tucson, AZ 85716-2671 | 2016-09-08 |
1720439961 | Toate Ganago | Community Based Residential Treatment Facility, Mental Illness | 6781 S Aquiline Dr, Tucson, AZ 85756-8639 | 2016-06-29 |
Find all providers in TUCSON |
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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.