Individual provider Active NPI

Miguel Angel Noriega Vazquez

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1306508916
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10210168 Issued in FL
Practice address
7480 Dwell Well Way Apt 4113
Winter Park, FL 32792-8915
Phone
(941) 249-7255
NPI assigned
Oct 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10210168 FL Primary

Addresses

Primary practice location

7480 Dwell Well Way Apt 4113
Winter Park, FL 32792-8915

Mailing address

7480 Dwell Well Way Apt 4113
Winter Park, FL 32792-8915
Phone (941) 249-7255

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626000337 FL Practitioner - Nurse Practitioner 0749648616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

410 E Altamonte Dr
Suite 1020
Altamonte Springs, FL 32701-4657
Phone (615) 373-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10210168FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Oct 17, 2023 Accepting new patients
Orlando Carenow Urgent Care LLC CurrentSince Jun 26, 2023 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Jun 27, 2023 Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients

Locations

410 E Altamonte Dr
Ste 1020
Altamonte Springs, FL 32701
Phone (321) 364-0011

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

628 Cagan View Rd
Clermont, FL 34714
Phone (352) 242-1988

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

100 Columbia St
Orlando, FL 32806
Phone (407) 245-0014

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152

Organizations & group practices 4

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1306508916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 DWELL WELL WAY APT 4113",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928915",
            "telephone_number": "941-249-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 DWELL WELL WAY APT 4113",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928915",
            "telephone_number": "941-249-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORIEGA VAZQUEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10210168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.