MEDICARE: NATALIA VASQUEZ RRT

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	2279H0200X	Home Health Registered Respiratory Therapist

General Provider Information

NPI Number	:	1023566510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA VASQUEZ RRT

Provider Business Mailing Address
First Line	:	1706 N 41ST AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-4217
Country	:	US
Telephone Number	:	305-303-8709
Fax Number	:

Provider Business Practice Location Address
First Line	:	1706 N 41ST AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-4217
Country	:	US
Telephone Number	:	305-303-8709
Fax Number	:

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

Provider Enumeration Date	:	09/14/2016
Last Update Date	:	09/14/2016

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