1568418325 NPI number — DR. LUZ G VAZQUEZ MD

Table of content: DR. LUZ G VAZQUEZ MD (NPI 1568418325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568418325 NPI number — DR. LUZ G VAZQUEZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VAZQUEZ
Provider First Name:
LUZ
Provider Middle Name:
G
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568418325
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7938
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT ST LUCIE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34985-7938
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-210-1162
Provider Business Mailing Address Fax Number:
772-577-7844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1701 SE HILLMOOR DR
Provider Second Line Business Practice Location Address:
STE D16
Provider Business Practice Location Address City Name:
PORT ST LUCIE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34952-7541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-210-1162
Provider Business Practice Location Address Fax Number:
772-577-7844
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  ME68140 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 257198600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 31913X . This is a "MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 102065600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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