IVELISSE VAZQUEZ (NPI# 1184167710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184167710 |
| Entity Type | Individual |
| Full Name | IVELISSE VAZQUEZ |
| Practice Address |
1 Condominio Polaris Apto 803 Carolina PR 00987 |
| Practice Telephone | 7876279668 |
| Mailing Telephone | 7876279668 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033446562 | Ivelisse Vazquez | Social Worker | 55 Dimock St, Room 266a, Roxbury, MA 02119-1029 | 2009-11-04 |
| Street Address |
1 CONDOMINIO POLARIS APTO 803 |
| City | CAROLINA |
| State | PR |
| Zip Code | 00987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876519 | New Era Compounding | Pharmacy | Lote 6-k Espacio 'a' Julion Matos Industrial Park, Calle Campeche (int Carr Pr-887 Km 9.6) Bo Martin Gonza, Carolina, PR 00987 | 2020-09-16 |
| 1871127993 | Victor A Andino | Social Worker | G 30 C/12 Urb. Metropolis, Carolina, PR 00987 | 2020-02-27 |
| 1073144291 | Nelson Xavier Del Pilar | Student in an Organized Health Care Education/Training Program | Universidad De Puerto Rico - Recinto De Carolina, Carolina, PR 00987 | 2020-01-27 |
| 1447805023 | Claryness Gutierrez Delgado | Nutritionist | Carretera 185 Km 15.7, Barrio Cedros, Carolina, PR 00987 | 2019-08-09 |
| 1922652478 | Ismari Rivera Garcia | Social Worker | Paseo Del Prado Shopping Center 107, Km 3.8 Pr 3, Carolina, PR 00987 | 2019-08-01 |
| 1669033858 | Debora Liz Reyes Galarza | Student in an Organized Health Care Education/Training Program | 1-30 Palacios Del Escorial, Ave De Diego, Carolina, PR 00987 | 2019-06-27 |
| 1891355681 | Rosa J Pagan | Social Worker | 407 Begonia, Quintas De Campeche, Carolina, PR 00987 | 2019-06-14 |
| 1346806361 | Michelle Marie Garriga - Vidal | Pharmacist | Plaza Escorial Bo San Anton, Carr 3 Ave 65 De Infanteria Inter Carr 887, Carolina, PR 00987 | 2019-05-15 |
| 1275196339 | Carlos Sebastian Ramos Encarnacion | Student in an Organized Health Care Education/Training Program | 113 Guajataca, Urb Remanso Taino, Carolina, PR 00987 | 2019-04-15 |
| 1336609361 | Tatiana Correa | Physician Assistant | Palacios Del Escorial Apt 1410, Carolina, PR 00987 | 2019-03-25 |
| Find all providers in zip 00987 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225559941 | Madeline Molina | Marriage & Family Therapist | Carr 867 Km7. 07 Parcela 133, Bo Sabana Seca, Toa Baja, PR 00949 | 2017-07-03 |
| 1164962452 | Jose Pantoja | Marriage & Family Therapist | D39 Urb Villa Real, Vega Baja, PR 00693-3980 | 2017-03-06 |
| 1720402332 | Peter Burgos Vega | Marriage & Family Therapist | Mk17 Paseo Del Parque, Monte Claro, Bayamon, PR 00961-4757 | 2014-02-18 |
| 1821378753 | Joel Acevedo | Marriage & Family Therapist | Hc 3 Box 3164, Florida, PR 00650-9639 | 2011-08-23 |
| 1124316310 | Angel Luis Mercado | Marriage & Family Therapist | 312, 32 Street Americo Miranda Ave, Villa Nevarez, San Juan, PR 00926 | 2011-07-21 |
| 1861794018 | Shirley A Rivas | Marriage & Family Therapist | 1259 Calle 48 Se, San Juan, PR 00921-2620 | 2010-11-20 |
| 1427280148 | Tanzania P Agramonte | Marriage & Family Therapist | Manuel Corchado 119, Apt 2, San Juan, PR 00911 | 2009-08-13 |
| 1326244815 | Felix Maldonado | Marriage & Family Therapist | 225 Calle Perseo, Altamira, San Juan, PR 00920 | 2007-06-22 |
| 1114049418 | R Cordova Trabajadores Sociales Csp | Marriage & Family Therapist | Road #2 Bayamon Shopping Center, Suite #10e Mini Mall, Bayamon, PR 00959 | 2007-04-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.