Provider Demographics
NPI:1427287358
Name:VASQUEZ, MARIA MIGUELINA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:MIGUELINA
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 SE 25TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2175
Mailing Address - Country:US
Mailing Address - Phone:305-281-4095
Mailing Address - Fax:
Practice Address - Street 1:1469 SE 25TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2175
Practice Address - Country:US
Practice Address - Phone:305-281-4095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency