Individual provider Active NPI

Rawi E Ruiz Vazquez, FNP-C

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1790409886
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11027905 Issued in FL
Practice address
7940 Via Dellagio Way Ste 142
Orlando, FL 32819-5400
Phone
(407) 965-3433
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4357 PR
Nurse Practitioner 363L00000X APRN11027905 FL Primary

Addresses

Primary practice location

7940 Via Dellagio Way Ste 142
Orlando, FL 32819-5400

Mailing address

1919 E Highway 50 Ste 205a
Clermont, FL 34711-1975
Phone (352) 717-3474

Other practice location 1

1919 E Highway 50 Ste 205A
Clermont, FL 34711-1975
Phone (352) 717-3474

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011004179 FL Practitioner - Nurse Practitioner 3274988217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4357PRMDSpecialist
APRN11027905FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Dec 3, 2023 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Dec 3, 2023 Accepting new patients

Locations

1919 E Highway 50
Ste 205A
Clermont, FL 34711
Phone (352) 717-3474

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

7940 Via Dellagio Way
Ste 142
Orlando, FL 32819
Phone (407) 413-5998

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rruizvazquez1910753@adventhealth.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1790409886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E HIGHWAY 50 STE 205A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111975",
            "telephone_number": "352-717-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 VIA DELLAGIO WAY STE 142",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195400",
            "telephone_number": "407-965-3433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 E Highway 50 Ste 205A",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111975",
            "country_code": "US",
            "telephone_number": "352-717-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ VAZQUEZ",
        "first_name": "RAWI",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "4357",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.