Individual provider Active NPI

Fernando Vazquez Pascual, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1629663083
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166989 Issued in FL
Practice address
14261 SW 120TH St Ste 112
Miami, FL 33186-7273
Phone
(305) 378-1302
Fax
(305) 383-5314
NPI assigned
Mar 7, 2021
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME166989 FL Primary

Addresses

Primary practice location

14261 SW 120TH St Ste 112
Miami, FL 33186-7273

Mailing address

14261 SW 120TH St Ste 112
Miami, FL 33186-7273
Phone (305) 378-1302

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
I20240530000974 FL Practitioner - Internal Medicine 8123460540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14261 SW 120TH St
Suite 112
Miami, FL 33186-7273
Phone (305) 378-1302

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

14261 SW 120th St
Ste 112
Miami, FL 33186
Phone (305) 378-1302

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

20801 NW 2nd Ave
Miami Gardens, FL 33169

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

Organizations & group practices 1

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 4

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": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1629663083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867273",
            "telephone_number": "305-378-1302",
            "fax_number": "305-383-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867273",
            "telephone_number": "305-378-1302",
            "fax_number": "305-383-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ PASCUAL",
        "first_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-07",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.