Vazquez, Enrique Dejesus

Vazquez, Enrique Dejesus is an individual health care provider with primary practice located at 1905 Nw 82Nd Ave , Doral FL 33126-1011. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Vazquez, Enrique Dejesus can be contacted via phone (786) 260-0160.

Contact Information

Primary practice address
1905 Nw 82Nd Ave Doral FL 33126-1011
Phone: (786) 260-0160
Fax: (305) 406-9478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1629290309
LBN Legal business name Vazquez, Enrique Dejesus
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629290309 NPPES
Florida MEDICAID 762800500

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