Lisette Vazquez DO PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS9315 Issued in FL

Legal business name

LISETTE VAZQUEZ DO PA

Practice address

909 N Krome Ave
Homestead, FL 33030-4408

Phone

(786) 243-4100

Fax

(786) 243-4111

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Lisette Vazquez, DO, PANPI 1659320380

Title

President

Phone

(786) 243-4100

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisette Vazquez, D.O.

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1659320380
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1619016185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 SW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341019",
            "telephone_number": "786-243-4100",
            "fax_number": "786-243-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304408",
            "telephone_number": "786-243-4100",
            "fax_number": "786-243-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISETTE VAZQUEZ DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-243-4100",
        "authorized_official_credential": "DO, PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS9315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7617825",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48582",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "170465",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "304927",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "57338",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindlee Lindsay
• Adolphus Linton
• Stephanie Lira
• Fathiya Ayuma Liriano, INTERPRETER MEDICAL
• Nelsy Liriano
• Katherine Lissabet
• Lissette Selem MD PA
• Carlos Alberto Lista Ensenat, M.D.
• Lilibett Liste
• Marianne Lithgow

• Primary Care Clinic/Center in Homestead, FL
• Providers in Homestead, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.