Active NPI
Liza Rivera Vazquez, BSN RN
- Registered Nurse
- Orlando, FL
National Provider Identifier
1366218224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28462
- Practice address
- Central Florida Kidney Center
401 South Chickasaw Trail,
Orlando, FL 32825 - Phone
- (407) 434-8910
- NPI assigned
- Nov 30, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 28462 | PR | |
| Wound Care Registered Nurse | 163WW0000X | 28462 | PR | |
| Registered Nurse | 163W00000X | 28462 | PR | Primary |
Addresses
Primary practice location
Central Florida Kidney Center
401 South Chickasaw Trail,
Orlando, FL 32825
Mailing address
HC 1 Box 26764
Caguas, PR 00725-8963
Phone (254) 338-1472
Other practice location 1
Ave. Ponce De Leon, Bus Stop 37 1/2,
Hato Rey, Puerto Rico 00919
Hato Rey, PR 00919
Phone (787) 758-2000 ext. 5130
Other practice location 2
Frescenius
East Orlando 2200 N. Alafaya Trail Suite 600
Orlando, FL 32826
Phone (800) 881-5101
Other practice location 3
Orlando Airport 5778 South Semoran Blvd,
Suit A
Orlando, FL 32822
Phone (407) 282-3835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28462 | PR | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1366218224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 26764",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007258963",
"telephone_number": "254-338-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL FLORIDA KIDNEY CENTER",
"address_2": "401 SOUTH CHICKASAW TRAIL,",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32825",
"telephone_number": "407-434-8910"
}
],
"practiceLocations": [
{
"address_1": "Ave. Ponce De Leon, Bus Stop 37 1/2,",
"address_2": "Hato Rey, Puerto Rico 00919",
"address_purpose": "LOCATION",
"city": "Hato Rey",
"state": "PR",
"postal_code": "00919",
"country_code": "US",
"telephone_number": "787-758-2000 x5130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Frescenius",
"address_2": "East Orlando 2200 N. Alafaya Trail Suite 600",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "32826",
"country_code": "US",
"telephone_number": "800-881-5101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Orlando Airport 5778 South Semoran Blvd,",
"address_2": "Suit A",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "32822",
"country_code": "US",
"telephone_number": "407-282-3835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA VAZQUEZ",
"first_name": "LIZA",
"name_prefix": "Mrs.",
"credential": "BSN RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "PR",
"license": "28462",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": "PR",
"license": "28462",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "PR",
"license": "28462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.