NPIMap

Individual provider Active NPI

Jose Emilio Vasquez, M.D.

  • Infectious Disease Physician
  • Brandon, FL
National Provider Identifier
1184667198
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME77683 Issued in FL
Practice address
214 Morrison Rd
Suite 104
Brandon, FL 33511-4849
Phone
(813) 681-6474
Fax
(813) 654-8473
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME77683 FL Primary

Addresses

Primary practice location

214 Morrison Rd
Suite 104
Brandon, FL 33511-4849

Mailing address

214 Morrison Rd
Suite 104
Brandon, FL 33511-4849
Phone (813) 681-6474

Other identifiers 1

IdentifierTypeStateIssuer
258889700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000563 FL Practitioner - Infectious Disease 3173650553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose R Prieto MD PAGroup PAC ID 5193707388, 4 clinicians

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

214 Morrison Rd
Brandon, FL 33511-4849

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 971-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose R Prieto MD PA Infectious Disease CurrentSince Jul 1, 1999 Accepting new patients

Locations

214 Morrison Rd
Ste 104
Brandon, FL 33511
Phone (813) 681-6474

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 8

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1184667198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MORRISON RD",
            "address_2": "SUITE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114849",
            "telephone_number": "813-681-6474",
            "fax_number": "813-654-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MORRISON RD",
            "address_2": "SUITE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114849",
            "telephone_number": "813-681-6474",
            "fax_number": "813-654-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JOSE",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME77683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258889700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.