Individual provider Active NPI

Michael Enrique Vecin, RD

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1245049659
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
13789 Issued in FL
Practice address
3540 SW 104TH CT
Miami, FL 33165-3718
Phone
(786) 632-5522
Fax
(786) 632-5557
NPI assigned
Jan 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 13789 FL Primary
Registered Dietitian 133V00000X 012432 NY

Addresses

Primary practice location

3540 SW 104TH CT
Miami, FL 33165-3718

Mailing address

3540 SW 104TH CT
Miami, FL 33165-3718
Phone (786) 632-5522

Other practice location 1

158 Wythe Ave Apt 2
Brooklyn, NY 11249-2944
Phone (786) 632-5522

Other practice location 2

742 Lakeview Shores Loop
Mooresville, NC 28117-6636
Phone (786) 632-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416001721 FL Practitioner - Registered Dietitian Or Nutrition Professional 8628593241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012432NYMDClinical Psychologist
13789FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Full Precision Health PLLC Dietitian, Registered CurrentSince Mar 19, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1245049659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SW 104TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653718",
            "telephone_number": "786-632-5522",
            "fax_number": "786-632-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SW 104TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653718",
            "telephone_number": "786-632-5522",
            "fax_number": "786-632-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Wythe Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112492944",
            "country_code": "US",
            "telephone_number": "786-632-5522",
            "fax_number": "786-632-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 Lakeview Shores Loop",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176636",
            "country_code": "US",
            "telephone_number": "786-632-5522",
            "fax_number": "786-632-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VECIN",
        "first_name": "MICHAEL",
        "middle_name": "ENRIQUE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "13789",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "012432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.