Individual provider Active NPI

Milagros Virginia Vazquez Guach, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1164024204
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009784 Issued in FL
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

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715002703 FL Practitioner - Nurse Practitioner 5193127942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009784FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisset Maria Suarez MD PA CurrentSince Oct 1, 2021 Accepting new patients
E&E Medical Services LLC CurrentSince Jun 10, 2025 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.

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

Verify at the official NPI Registry.