| Doctor Name: | LESLIE ANN VAZQUEZ-DAVILA |
| NPI Number: | 1629438189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3093 |
| Business Practice Address: | F10a Calle 4 Urbanizacion Jardines De San Lorenzo San Lorenzo, PR - 007544311 |
| Business Phone Number: | 7873808614 |
| Business Fax Number: | |
| Mailing Address: | F10a Calle 4, Urb Jardines De San Lorenzo SAN LORENZO |
| State: | PR |
| Postal Code: | 00754 |
| Phone Number: | 7873808614 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2016 |
| NPI Last Update Date: | 02/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3093 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |