Individual provider Active NPI

Suzel Vazquez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • South Miami, FL
National Provider Identifier
1407976145
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME52276 Issued in FL
Practice address
6705 S Red Rd
Suite708
South Miami, FL 33143-3622
Phone
(786) 431-4510
Fax
(786) 431-4536
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME52276 FL Primary

Addresses

Primary practice location

6705 S Red Rd
Suite708
South Miami, FL 33143-3622

Mailing address

9445 Old Cutler LN
Coral Gables, FL 33156-2244
Phone (305) 669-0197

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150310002309 FL Order and Referring Only - EndocrinologyPractitioner - Internal MedicinePractitioner - Endocrinology 2860718855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME52276FLMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1407976145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 OLD CUTLER LN",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331562244",
            "telephone_number": "305-669-0197",
            "fax_number": "305-373-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD",
            "address_2": "SUITE708",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "786-431-4510",
            "fax_number": "786-431-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "SUZEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME52276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.