Individual provider Active NPI

Juan C Fleites Vazquez, M.D.

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1174511729
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME0070014 Issued in FL
Practice address
3181 Coral Way Ste 301
Miami, FL 33145-3249
Phone
(305) 856-1002
Fax
(866) 809-8253
NPI assigned
Oct 7, 2005
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME0070014 FL Primary

Addresses

Primary practice location

3181 Coral Way Ste 301
Miami, FL 33145-3249

Mailing address

3181 Coral Way Ste 301
Miami, FL 33145-3249
Phone (305) 856-1002

Other identifiers 1

IdentifierTypeStateIssuer
379975100MedicaidFL

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
I20050819000534 FL Practitioner - General Surgery 5496785347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University Central del Caribe Escuela de Medicina, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Surgical Group LLCGroup PAC ID 7214062520, 4 clinicians

Practice addresses (Care Compare)

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-1002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Surgical Group LLC Vascular Surgery CurrentSince Oct 1, 2009 Accepting new patients
Garcia-Godoy, D.O., LLC Current Accepting new patients
Universal Surgical Associates LLC PastSince Aug 1, 2009 Accepting new patients
Estevez & Associates PA Vascular Surgery Past Accepting new patients
Bay Surgical Group LLC Vascular Surgery Past Accepting new patients
El Surgical Associates Vascular Surgery Past Accepting new patients

Locations

3181 Coral Way
Ste 301
Miami, FL 33145
Phone (305) 444-4546

3661 S Miami Ave
Ste 708
Miami, FL 33133
Phone (305) 856-1002

3181 Coral Way
Fl 4
Miami, FL 33145
Phone (305) 445-7200

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGEBD/Endpoint/IHGEBD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1174511729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453249",
            "telephone_number": "305-856-1002",
            "fax_number": "866-809-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453249",
            "telephone_number": "305-856-1002",
            "fax_number": "866-809-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEITES VAZQUEZ",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME0070014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379975100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.