Individual provider · Type 1 NPI

Jose Raul Vazquez

Assisted Living Facility · St. Augustine, FL

NPI number 1245142835 Active

Practice location

399 Lone Cypress Way
St. Augustine, FL 32092-0157

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

About NPI 1245142835

Jose Raul Vazquez's National Provider Identifier is 1245142835, issued on Sep 19, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 19, 2026.