| Doctor Name: | MR. NELSON VAZQUEZ |
| NPI Number: | 1235249418 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OT |
| License Number: | OT1031 |
| Business Practice Address: | 13500 Sw 88 St Suite 171 Kendall, FL - 33186 |
| Business Phone Number: | 3054087353 |
| Business Fax Number: | 3054087355 |
| Mailing Address: | 4500 Sw 64 Ct, MIAMI |
| State: | FL |
| Postal Code: | 33155 |
| Phone Number: | 3056670600 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | OT1031 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |