| Ashley Vazquez Psc | |
|
Edificio Constancia Carr 417 Km Hm 2.4 Bo Guanabano Aguada PR 00602-9828 | |
| (787) 667-3553 | |
| Not Available |
| Full Name | Ashley Vazquez Psc |
|---|---|
| Speciality | Psychologist |
| Location | Edificio Constancia Carr 417, Aguada, Puerto Rico |
| Authorized Official Name and Position | Ashley Jailyn Vazquez Matias (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7876673553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Vazquez Psc Hc 57 Box 9400 Aguada PR 00602-9828 Ph: (787) 667-3553 | Ashley Vazquez Psc Edificio Constancia Carr 417 Km Hm 2.4 Bo Guanabano Aguada PR 00602-9828 Ph: (787) 667-3553 |
| NPI Number | 1942076104 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 0840638441 |
|---|---|
| Medicare Enrollment ID | O20240402001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942076104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Jailyn Vazquez Matias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124634209 PECOS PAC ID: 1759729353 Enrollment ID: I20240402001701 |
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