Victor Vasquez, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10158 Issued in FL

Practice address

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832

Phone

(888) 852-6672

Fax

(305) 891-4228

NPI assigned

Nov 1, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Camino Real Community MHMR Center

  dba Camino Real Community Services

  • Case Management Agency
  • Lytle, TX
  • NPI 1154411262
  NPD
• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1609412840
  NPD
• Huntingdon Healthcare Inc

  • Psychiatry Physician
  • Naples, FL
  • NPI 1457302614
  NPD (past)
• University of Miami

  dba UMiami Medicine - Psychiatry

  • Psychiatry Physician
  • Miami, FL
  • NPI 1437109048
  NPD (past)
• AIDS Center of Queens County, Inc.

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1629274972
  NPD (past)
• Newyork-Presbyterian-Queens

  dba Transitional Care Unit

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1689958779
  NPD (past)
• SLR Psychiatric Associates

  • General Acute Care Hospital
  • New York, NY
  • NPI 1164453312
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1154408268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615834",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 206",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "201972",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "10158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000256700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• USA Home Health Care Corporation
• Ana Hilda Valdes
• Jane Valdes, ARNP
• William Valdes, DC
• Marta Isabel Varon, MBA
• Juliana Vassolo, M.A.
• Tatiana Vazquez de Miguel, LMHC
• Carmene Vazquez, MA, LMHC
• Delbert Jomar Vazquez, DC
• Yaremis Vega Pujol

• Psychiatry Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.