Adult Medicine Institute & Diagnostic Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

022083 Issued in LA

Legal business name

ADULT MEDICINE INSTITUTE & DIAGNOSTIC CENTER

Practice address

1937 S Burnside Ave
Gonzales, LA 70737-4632

Phone

(225) 647-1947

Fax

(225) 644-3943

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Ruben Vazquez, M.D.NPI 1326076266

Title

Owner

Phone

(225) 647-1947

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos R Vazquez, M.D.

  • Internal Medicine Physician
  • Gonzales, LA
  • NPI 1326076266
  NPD (past) Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1578885240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374632",
            "telephone_number": "225-647-1947",
            "fax_number": "225-644-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374632",
            "telephone_number": "225-647-1947",
            "fax_number": "225-644-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICINE INSTITUTE & DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-647-1947",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "022083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495859",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Action Therapy & Wellness Center, LLC
• Edwin Frank Adams III, OD
• Jason D. Adams, M.D.
• Trineqa Adams
• Adult Medicine and Diagnostic Center
• Adv Services, LLC
• Advanced Rehabilitation of Gonzales
• Paul Cary Aguillard, M.D.
• Brittany B Aldridge
• Jeffrey Anthony Aldridge, R.PH.

• Primary Care Clinic/Center in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.