ALEXANDER VAZQUEZ (NPI# 1891299269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891299269 |
Entity Type | Individual |
Full Name | ALEXANDER VAZQUEZ |
Practice Address |
32 Wilder Ct Watertown CT 06795-1924 |
Practice Telephone | 8609451277 |
Enumeration Date | 2018-03-21 |
Last Update Date | 2018-03-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
32 WILDER CT |
City | WATERTOWN |
State | CT |
Zip Code | 06795-1924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396232187 | Watertown Wellness Center LLC | Community/Behavioral Health | 116 Georgetown Drive, Watertown, CT 06795 | 2018-04-17 |
1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
Find all providers in zip 06795 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730795147 | Suong Bui | Student in an Organized Health Care Education/Training Program | 141 Breen Ave, Watertown, NY 13601-7394 | 2020-09-21 |
1871113605 | Jairo Matthew Amarillo | Student in an Organized Health Care Education/Training Program | 203 Sycamore St Unit 2, Watertown, MA 02472-1058 | 2020-04-22 |
1649899592 | Tara Toloui Rahimabadi | Student in an Organized Health Care Education/Training Program | 275 Main St Apt 704, Watertown, MA 02472-4309 | 2020-04-10 |
1710516117 | Karla Bakke | Student in an Organized Health Care Education/Training Program | 117 Riverlawn Ave, Watertown, WI 53094-4013 | 2020-04-07 |
1790327963 | Michelle Blitzman | Student in an Organized Health Care Education/Training Program | 2c Locust Ln, Watertown, MA 02472-1733 | 2019-10-09 |
1639664634 | Angela Tutein | Student in an Organized Health Care Education/Training Program | 11a Cuba St, Watertown, MA 02472-2342 | 2018-06-22 |
1811310428 | Ryan Renzella | Student in an Organized Health Care Education/Training Program | 48 Prospect St, Watertown, MA 02472-3113 | 2014-02-03 |
1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
1992316657 | Michele Kolb | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-08-14 |
1518578368 | Brieanna Lewis | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601-1360 | 2020-08-14 |
Find all providers in WATERTOWN |
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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.