Fabiana Vastola, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME158414 Issued in FL

Practice address

401 Opa Locka Blvd
Opa Locka, FL 33054-3528

Phone

(786) 535-7200

Fax

(786) 535-7294

NPI assigned

Jul 7, 2020

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881024800

  FL

  Medicare reassignment
• Chen Neighborhood Medical Centers of South Florida LLC

  • Non-Pharmacy Dispensing Site
  • Opa Locka, FL
  • NPI 1497423693
  NPD

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1467070409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543528",
            "telephone_number": "786-535-7200",
            "fax_number": "786-535-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543528",
            "telephone_number": "786-535-7200",
            "fax_number": "786-535-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASTOLA",
        "first_name": "FABIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME158414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uscg Clinic Air Station Miami
• Amanda Vaddepally
• Yenisley Valdes Lopez
• Mario C. Valdes
• Variety Children'S Hospital
• Claudia De la Caridad Vega
• Ailin Velazquez Aguilera
• Vida Sin Fin Alf
• Martha Vigoa
• Leslie Volpe, LCSW

• All providers in Opa Locka, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.