Provider Demographics
NPI:1053144337
Name:VAZQUEZ GONZALEZ, LINNETTE (MS SLP)
Entity type:Individual
Prefix:
First Name:LINNETTE
Middle Name:
Last Name:VAZQUEZ GONZALEZ
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 36296
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9788
Mailing Address - Country:US
Mailing Address - Phone:787-216-8005
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 36296
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9788
Practice Address - Country:US
Practice Address - Phone:787-216-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004510235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist