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NPI Code Detail

MEDICARE: ROSA VAZQUEZ

MEDICARE: ROSA VAZQUEZ
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1558203976
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA VAZQUEZ
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1915 HOWARD RD STE B&C
Second Line :
City : MADERA
State : CA
Zip : 93637-5163
Country : US
Telephone Number : 559-330-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ ROSA VAZQUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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