Jorge Emilio Vazquez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012426 Issued in FL

Practice address

340 Alhambra Cir
Coral Gables, FL 33134-5004

Phone

(305) 442-6422

Fax

(305) 444-8122

NPI assigned

May 15, 2007

Last updated

Dec 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiant Dental Care, LLC

  • Dentist
  • Hialeah, FL
  • NPI 1760209209
  NPD Authorized official
• Evolution Smiles

  • Dental Clinic/Center
  • Coral Gables, FL
  • NPI 1437528536
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1417163718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 BLUE RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461726",
            "telephone_number": "305-321-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345004",
            "telephone_number": "305-442-6422",
            "fax_number": "305-444-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JORGE",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Liz Vazquez Conde
• Gaspar Vazquez Demiguel, MD
• Magnelia Nicolasa Vazquez Ruiz, NP
• Alexandra Calero Vazquez, MS
• Alyssa Vazquez, LMFT
• VDZ Leading Community Services, LLC
• Vedado Health Solutions, Inc
• Ricardo Luis Vega Auz, MD
• Vega Medical Services Corp
• Liliana Vega Pena

• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.