Individual provider Active NPI

Andres Jesus Vazquez Rodriguez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1467600866
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9457005 Issued in FL
Practice address
1951 NW 17TH Ave
Miami, FL 33125-1547
Phone
(305) 774-9570
Fax
(305) 774-9573
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9457005 FL Primary

Addresses

Primary practice location

1951 NW 17TH Ave
Miami, FL 33125-1547

Mailing address

15480 SW 26TH Ter
Miami, FL 33185-4905
Phone (786) 417-0655

Other practice location 1

1201 NW 16th St
Room# B537
Miami, FL 33125-1624
Phone (305) 324-4455 ext. 3953

Other practice location 2

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 689-5512

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115001226 FL Practitioner - Nurse Practitioner 2668718586 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9457005FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2019 Accepting new patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Jul 13, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2019 Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1467600866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 SW 26TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854905",
            "telephone_number": "786-417-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251547",
            "telephone_number": "305-774-9570",
            "fax_number": "305-774-9573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 NW 16th St",
            "address_2": "Room# B537",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251624",
            "country_code": "US",
            "telephone_number": "305-324-4455 x3953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-689-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ RODRIGUEZ",
        "first_name": "ANDRES",
        "middle_name": "JESUS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9457005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.