Individual provider Active NPI

Liza Rivera Vazquez, BSN RN

  • Registered Nurse
  • Orlando, FL
National Provider Identifier
1366218224
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28462 Issued in PR
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

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 28462 PR
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X 28462 PR
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
28462PRMDEmergency 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.

Verify at the official NPI Registry.