Provider Demographics
NPI:1114803889
Name:VAZQUEZ, GABRIELA ANDREA (DC)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:ANDREA
Last Name:VAZQUEZ
Suffix:
Gender:X
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 SOLARA CIR APT 3064
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-0004
Mailing Address - Country:US
Mailing Address - Phone:787-685-5709
Mailing Address - Fax:
Practice Address - Street 1:5000 SOLARA CIR APT 3064
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-0004
Practice Address - Country:US
Practice Address - Phone:787-685-5709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor