Neurology Restoration Center LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME68140 Issued in FL

Legal business name

NEUROLOGY RESTORATION CENTER LLC

Practice address

1701 SE Hillmoor Dr
Suite D-16
Port Saint Lucie, FL 34952-7552

Phone

(772) 201-1162

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Luz G Vazquez, MDNPI 1568418325

Title

Owner/MD

Phone

(772) 210-1162

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neurology Restoration Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13499/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luz G Vazquez, MD

  • Neurology Physician
  • Port St Lucie, FL
  • NPI 1568418325
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1043765753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7938",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349857938",
            "telephone_number": "772-210-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE D-16",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-201-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY RESTORATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "772-210-1162",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME68140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257198600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Restoration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Lee Neely
• Lillian M Negron, CRNA
• Annie E Neil, RN
• Nelkim Support Services
• Yuri Silva Neto
• New Isle Group, LLC
• New Life Pharmacy & Medical Supply Inc
• New York Medical Doctors, PA
• Wonique Edith Newbold
• Mallissa Newton

• Neurology Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.