Guillermo Vazquez M.D. PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

042997 Issued in FL

Legal business name

GUILLERMO VAZQUEZ M.D. PA

Practice address

1435 W 49TH PL
Suite 206
Hialeah, FL 33012-3197

Phone

(305) 557-5355

Fax

(305) 557-5146

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Vazquez, M.D.NPI 1770592933

Title

President

Phone

(305) 557-5355

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guillermo Vazquez, M.D.

  • Urology Physician
  • Hialeah, FL
  • NPI 1770592933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1255636106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832587",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332832587",
            "telephone_number": "305-557-5355",
            "fax_number": "305-557-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "address_2": "SUITE 206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "305-557-5355",
            "fax_number": "305-557-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO VAZQUEZ M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-557-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "042997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046912200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "04120",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amparo Guillen
• Anarellys Guillen
• Celeste Guillen
• Claudia Guillen, RBT
• Guillermo a Pena MD PA
• Guilmar Health Services LLC
• Felix Guimarais Caste
• Avelino A Guiribitey, MD
• Norma Pricila Guirola
• Wendy Guitart, RBT-18-67754

• Urology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.