Individual provider Active NPI

Gaspar Vazquez Demiguel, MD

  • Emergency Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1730251604
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME0067352 Issued in FL
Practice address
3100 S Douglas Rd
Coral Gables, FL 33134-6914
Phone
(305) 445-8461
Fax
(904) 346-0113
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0067352 FL Primary

Addresses

Primary practice location

3100 S Douglas Rd
Coral Gables, FL 33134-6914

Mailing address

234 Atlantic Isle
Sunny Isles Beach, FL 33160-4516
Phone (305) 947-5393

Other identifiers 4

IdentifierTypeStateIssuer
930068585OtherFLRAILROAD MEDICARE
26440OtherFLBCBS
377175000MedicaidFL
P00357012OtherRR MCR

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
I20031125000073 FL Practitioner - Emergency Medicine 5991609539 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0067352FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Dec 31, 2012 Accepting new patients
Oracle Health Systems Inc Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Gaspar Vazquez de Miguel PA PastSince Jul 5, 2012 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

5901 SW 74th St
Ste 202
South Miami, FL 33143
Phone (305) 665-2059

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1730251604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ATLANTIC ISLE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604516",
            "telephone_number": "305-947-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S DOUGLAS RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346914",
            "telephone_number": "305-445-8461",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ DEMIGUEL",
        "first_name": "GASPAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0067352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930068585",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26440",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377175000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00357012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.