Individual provider Active NPI

Carlos Hernandez Vazquez

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1003456021
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9509518 Issued in FL
Practice address
9250 NW 36TH St Ste 420
Doral, FL 33178-2775
Phone
(305) 266-2929
NPI assigned
Jan 7, 2020
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9509518 FL Primary

Addresses

Primary practice location

9250 NW 36TH St Ste 420
Doral, FL 33178-2775

Mailing address

9250 NW 36TH St Ste 410
Doral, FL 33178-2775
Phone (786) 498-2822

Other practice location 1

2091 Bahama Dr
Miramar, FL 33023-2640
Phone (786) 498-2822

Other practice location 2

4218 E 4th Ave
Hialeah, FL 33013-2306
Phone (305) 266-2929

Other practice location 3

900 W 49th St Ste 101
Hialeah, FL 33012-3441
Phone (305) 266-2929

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carlos.hernandez@neuehealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923000947 FL Practitioner - Nurse Practitioner 6507263233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

7200 NW 7TH St
Suite 150
Miami, FL 33126-2941
Phone (305) 266-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9509518FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Care Centers LLC Current Accepting new patients
Medicus Health Group Inc CurrentSince Nov 11, 2024 Accepting new patients
Medcare Centers, LLC CurrentSince Apr 28, 2024 Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Aug 3, 2021 Accepting new patients
Medcare Centers, LLC CurrentSince Apr 28, 2024 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Aug 3, 2021 Accepting new patients
All in One Care Solutions LLC Past Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

900 W 49th St
Ste 101
Hialeah, FL 33012

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 801-6952

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

2266 SW 8th St
Miami, FL 33135
Phone (305) 537-9490

434 SW 12th Ave
Miami, FL 33130
Phone (305) 294-9292

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1003456021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 NW 36TH ST STE 410",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782775",
            "telephone_number": "786-498-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NW 36TH ST STE 420",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782775",
            "telephone_number": "305-266-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2091 Bahama Dr",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330232640",
            "country_code": "US",
            "telephone_number": "786-498-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4218 E 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330132306",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "fax_number": "305-363-5965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W 49th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123441",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "fax_number": "305-363-5965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ VAZQUEZ",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9509518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos.hernandez@neuehealth.com",
            "affiliation": "N",
            "endpointDescription": "Personal Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "carlos.hernandez@neuehealth.com",
            "address_1": "9250 NW 36th St Ste 420",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331782775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.