Individual provider Active NPI

Luz G Vazquez, MD

  • Neurology Physician
  • Port St Lucie, FL
National Provider Identifier
1568418325
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME68140 Issued in FL
Practice address
10023 S US Highway 1 Ste B
Port St Lucie, FL 34952-5643
Phone
(772) 210-1162
Fax
(772) 577-7844
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME68140 FL Primary

Addresses

Primary practice location

10023 S US Highway 1 Ste B
Port St Lucie, FL 34952-5643

Mailing address

10023 S US Highway 1 Ste B
Port St Lucie, FL 34952-5643
Phone (772) 210-1162

Other identifiers 2

IdentifierTypeStateIssuer
257198600MedicaidFL
31913XOtherFLMEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000493 FL Practitioner - NeurologyPractitioner - Neurosurgery 6507936945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University Central del Caribe Escuela de Medicina, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10023 S US Hwy 1
Suite B
Port St Lucie, FL 34952-5643
Phone (772) 210-1162

1801 SE Hillmoor Dr
BLDG a 102
Port St Lucie, FL 34952-7541

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Restoration Center LLC Neurology CurrentSince Mar 6, 2017 Accepting new patients
Arthritis and Rheumatology Associates of Treasure Coast LLC PastSince Jan 25, 2017 Accepting new patients

Locations

1701 SE Hillmoor Dr
Ste D16
Port St Lucie, FL 34952
Phone (772) 210-1162

1801 SE Hillmoor Dr
Ste A-102
Port St Lucie, FL 34952
Phone (772) 210-1162

10023 S US Highway 1
Ste B
Port St Lucie, FL 34952
Phone (561) 871-9300

Interoperability endpoints

  • Direct secure messaging: luz.vazquez.1@13499.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13499/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1568418325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10023 S US HIGHWAY 1 STE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525643",
            "telephone_number": "772-210-1162",
            "fax_number": "772-577-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 S US HIGHWAY 1 STE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525643",
            "telephone_number": "772-210-1162",
            "fax_number": "772-577-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "LUZ",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME68140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257198600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "31913X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.