Provider Demographics
NPI:1457237943
Name:MERCED VAZQUEZ, YOLANDA
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:MERCED VAZQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DF URB MONTE CASINO
Mailing Address - Street 2:CALLE ALMACIGO H 19
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3710
Mailing Address - Country:US
Mailing Address - Phone:787-403-6175
Mailing Address - Fax:
Practice Address - Street 1:CENTRO DE DIAGNOSTICO PARA INTELIGENCIAS MULTIPLES
Practice Address - Street 2:CALLE VICTORIA 1551
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-722-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR588225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty