Healthcare Provider Details

I. General information

NPI: 1881587574
Provider Name (Legal Business Name): DR. ASHLEY K VAZQUEZ NEGRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2025
Last Update Date: 05/31/2025
Certification Date: 05/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC03 BOX 16291
COROZAL PR
00783
US

IV. Provider business mailing address

HC03 BOX 16291
COROZAL PR
00783
US

V. Phone/Fax

Practice location:
  • Phone: 787-371-1571
  • Fax:
Mailing address:
  • Phone: 787-371-1571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number008391
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number008391
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number008391
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: