Individual provider Active NPI

Leonardo Nicholas Catalano Vazquez, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1124358056
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27315 Issued in PR
Practice address
1010 Seminole Dr
Apt 1106
Fort Lauderdale, FL 33304-3201
Phone
(787) 503-1960
NPI assigned
Dec 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 27315 PR Primary

Addresses

Primary practice location

1010 Seminole Dr
Apt 1106
Fort Lauderdale, FL 33304-3201

Mailing address

1010 Seminole Dr Apt 1106
Fort Lauderdale, FL 33304-0000
Phone (787) 503-1960

Other identifiers 1

IdentifierTypeStateIssuer
009491900MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000221 FL Practitioner - Obstetrics/Gynecology 3577707397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

603 N Flamingo Rd
360A Michael F Augustino MD LLC
Pembroke Pines, FL 33028-1023
Phone (954) 436-7667

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27315PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Feb 1, 2017 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

603 N Flamingo Rd
Ste 360A
Pembroke Pines, FL 33028
Phone (954) 384-2522

603 N Flamingo Rd
Ste 351
Pembroke Pnes, FL 33028
Phone (954) 430-3866

1605 Town Center Blvd
Weston, FL 33326
Phone (954) 436-7667

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1261785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1124358056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SEMINOLE DR APT 1106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333040000",
            "telephone_number": "787-503-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SEMINOLE DR",
            "address_2": "APT 1106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043201",
            "telephone_number": "787-503-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALANO VAZQUEZ",
        "first_name": "LEONARDO",
        "middle_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-26",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "27315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009491900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.