Raphael Vazana, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN8463 Issued in FL

Practice address

4841 W 4TH Ave
Hialeah, FL 33012-3939

Phone

(305) 558-2261

Fax

(305) 557-9242

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• David E. Dewitt DDS

  • Dentist
  • Hialeah, FL
  • NPI 1750657441
  NPD (past)
• Promila Inc

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1346087533
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528170107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-558-2261",
            "fax_number": "305-557-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-558-2261",
            "fax_number": "305-557-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZANA",
        "first_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Vasquez
• Lillianie S Vasquez, PHD
• Maria Elisa Vasquez, MD
• Raidy G Vasquez
• Sofia Emily Vasquez, MD
• Laura Vazquez Acosta
• Leoany Vazquez Acosta, SLP
• Alianet Vazquez Arrieta, RBT
• Saymaris Vazquez Benitez
• Tania Ayme Vazquez Boza

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 Jul 8, 2007; 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.