Active NPI
Lilliam Vazquez Maldonado, M.D.
- Pediatrics Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME145284
- Practice address
- 7444 Palm River Rd
Tampa, FL 33619-4128 - Phone
- (813) 392-1894
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ACN685 | FL | |
| Pediatrics Physician | 208000000X | ME145284 | FL | Primary |
Addresses
Primary practice location
7444 Palm River Rd
Tampa, FL 33619-4128
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lilliam.vazquez.maldonado.1@29601.direct.athenahealth.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145284 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Family Medicine | Current | Accepting new patients |
Locations
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831
4960 SW 72nd Ave
Ste 406
Miami, FL 33155
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
7444 Palm River Rd
Tampa, FL 33619
Phone (813) 392-1894
Interoperability endpoints
- lilliam.vazquezmaldonado.p1@direct.mbmg.nextgenshare.com
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.
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1235198920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7444 PALM RIVER RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336194128",
"telephone_number": "813-392-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ MALDONADO",
"first_name": "LILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ACN685",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME145284",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lilliam.vazquez.maldonado.1@29601.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "lilliam.vazquez.maldonado.1@29601.direct.athenahealth.com",
"address_1": "7444 Palm River Rd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336194128",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 25, 2026; 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.