Healthcare Provider Details

I. General information

NPI: 1518870500
Provider Name (Legal Business Name): NATALIA MARIA VAQUERO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 NIAGARA ST
BUFFALO NY
14201-1834
US

IV. Provider business mailing address

455 NIAGARA ST
BUFFALO NY
14201-1834
US

V. Phone/Fax

Practice location:
  • Phone: 716-248-2825
  • Fax: 716-248-2826
Mailing address:
  • Phone: 716-248-2825
  • Fax: 716-248-2826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number014105
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: