Individual ProviderWilmelody VazquezPsychologistBehavioral Health & Social Service ProvidersPractice AddressCarr. 416 Km 6.8, Aguada, PR 00602(787) 252-0404(787) 423-4713PECOS EnrollmentBased on the most recent information from CMS, provider Wilmelody Vazquez is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215620281Provider TypeIndividualFull NameVazquez, WilmelodyTitleDr.CredentialPSYDGenderFemaleSole ProprietorYesEnumeration Date5/26/2023Last Updated5/26/2023Contact InformationPractice LocationPractice AddressCarr. 416 Km 6.8, Aguada, PR 00602Phone(787) 252-0404FaxUnlisted FaxMailing LocationMailing AddressHc 61 Box 5418, Aguada, PR 00602-9536Phone(787) 423-4713FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense6448Puerto Rico