Organization Active NPI

Ramon Vazquez Jr MD PA

  • Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1114116597
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME85650 Issued in FL
Legal business name
RAMON VAZQUEZ JR MD PA
Practice address
3370 Burns Rd
Suite 102
Palm Beach Gardens, FL 33410-4327
Phone
(561) 694-6911
Fax
(561) 625-3239
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Ramon Vazquez Jr., MDNPI 1952357626
Title
President
Phone
(561) 694-6911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME85650 FL Primary

Addresses

Primary practice location

3370 Burns Rd
Suite 102
Palm Beach Gardens, FL 33410-4327

Mailing address

3370 Burns Rd
Suite 102
Palm Beach Gardens, FL 33410-4327
Phone (561) 694-6911

Other identifiers 1

IdentifierTypeStateIssuer
81495OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000893 FL Part B Supplier - Clinic/Group Practice 6002854221 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

3370 Burns Rd
Ste 102
Palm Beach Gardens, FL 33410
Phone (561) 282-2602

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1114116597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-694-6911",
            "fax_number": "561-625-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-694-6911",
            "fax_number": "561-625-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON VAZQUEZ JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-694-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME85650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81495",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.