NPIMap

Individual provider Active NPI

Veronica P Azcuenaga, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1558022848
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115466 Issued in FL
Practice address
499 NW 70TH Ave Ste 200
Plantation, FL 33317-7578
Phone
(954) 223-5483
Fax
(954) 223-5484
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115466 FL Primary

Addresses

Primary practice location

499 NW 70TH Ave Ste 200
Plantation, FL 33317-7578

Mailing address

499 NW 70TH Ave Ste 200
Plantation, FL 33317-7578
Phone (954) 223-5483

Other practice location 1

1115 W Call St
Tallahassee, FL 32304-3556
Phone (850) 644-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216001384 FL Practitioner - Physician Assistant 9234522137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services Inc 1,125 clinicians
Elite Spine and Wellness, LLC 4 clinicians

Practice addresses (Care Compare)

13550 S Jog Rd
100 Cora Physical Therapy W Delray Beac
Delray Beach, FL 33446-3808
Phone (561) 496-5144

499 NW 70TH Ave
Suite 200
Plantation, FL 33317-7578
Phone (954) 223-5483

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC Physician Assistant CurrentSince Jan 20, 2022 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Jan 20, 2022 Accepting new patients

Locations

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1558022848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177578",
            "telephone_number": "954-223-5483",
            "fax_number": "954-223-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177578",
            "telephone_number": "954-223-5483",
            "fax_number": "954-223-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 W Call St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323043556",
            "country_code": "US",
            "telephone_number": "850-644-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZCUENAGA",
        "first_name": "VERONICA",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.