Active NPI
Milagros Virginia Vazquez Guach, APRN
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1164024204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11009784
- Practice address
- 13926 Henson Cir
Tampa, FL 33625-3121 - Phone
- (813) 451-3171
- NPI assigned
- Nov 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11009784 | FL | Primary |
Addresses
Primary practice location
13926 Henson Cir
Tampa, FL 33625-3121
Mailing address
13926 Henson Cir
Tampa, FL 33625-3121
Phone (813) 451-3171
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009784 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisset Maria Suarez MD PA | Current | Accepting new patients | |
| E&E Medical Services LLC | Current | Accepting new patients | |
| J & J Rehab Medical Center Inc | Past | Accepting new patients |
Locations
5237 Ehrlich Rd
Tampa, FL 33624
Phone (813) 506-4769
8316 Hanley Rd
Ste 12
Tampa, FL 33634
Phone (813) 890-7246
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1780485979
-
- General Practice Physician
- Tampa, FL
- NPI 1023572336
-
- Clinic/Center
- Tampa, FL
- NPI 1184130742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1164024204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13926 HENSON CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336253121",
"telephone_number": "813-451-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13926 HENSON CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336253121",
"telephone_number": "813-451-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ GUACH",
"first_name": "MILAGROS",
"middle_name": "VIRGINIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11009784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.