Martin Giovanni Vazquez Miranda, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23729 Issued in PR

Practice address

1028 Dunn Ave
Jacksonville, FL 32218-4830

Phone

(904) 766-7606

Fax

(904) 766-7679

NPI assigned

Jun 10, 2024

Last updated

Feb 17, 2026By 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 2

Addresses

Electronic endpoints 1

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

Specialty

General Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEGCCD
• Direct secure messaging: martin.vazquez.miranda.1@29601.direct.athenahealth.com

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Medhealth Clinical Inc.

  • Internal Medicine Physician
  • Winter Garden, FL
  • NPI 1164045753

  Single Specialty

  Medicare reassignment NPD
• Covenant Home Health Care 7, LLC

  • Home Health Agency
  • Winter Park, FL
  • NPI 1669024485
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1609618743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184830",
            "telephone_number": "904-766-7606",
            "fax_number": "904-766-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ MIRANDA",
        "first_name": "MARTIN",
        "middle_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN1670",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martin.vazquez.miranda.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1028 Dunn Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322184830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yelena Vaynman
• Anthony Vaz, M.D.
• Sasha Vaziri, MD
• Gerardo Antonio Vazquez Garcia, M.D.
• Roger Alfredo Vazquez Gomez, MD
• Maria Vazquez Roque, MD
• Enid Vazquez Santiago
• Christian Vazquez-Martinez
• Amelia Vazquez, LMHC
• Aspen Vazquez, RN

• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.