MEDICARE: DR. LUCIA INES VAZQUEZ ARANGO PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1315	PR

General Provider Information

NPI Number	:	1225064199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCIA INES VAZQUEZ ARANGO PSY.D

Provider Business Mailing Address
First Line	:	1095 CALLE WILSON
Second Line	:	APT 1001
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1718
Country	:	US
Telephone Number	:	787-603-8913
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 AVE FERNANDEZ JUNCOS PODIATRY CENTER BUILDING
Second Line	:	SUITE 3 E
City	:	SAN JUAN
State	:	PR
Zip	:	00909-2649
Country	:	US
Telephone Number	:	787-723-3583
Fax Number	:	787-723-4618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	07/03/2017

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