Omar Jose Vazquez Alicea, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22439 Issued in PR

Practice address

225 N 1St St
Leesburg, FL 34748-5150

Phone

(407) 905-8827

Fax

(352) 360-2389

NPI assigned

Aug 17, 2021

Last updated

May 23, 2023By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Health Centers, Inc

  • Community/Retail Pharmacy
  • Apopka, FL
  • NPI 1134258684
  Medicare reassignment NPD
• Premier Medical Associates All Florida, LLC

  dba Premier Medical Associates

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1093829442
  Medicare reassignment NPD
• Premier Medical Associates of Florida Healthcare, PA

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1023612827
  Medicare reassignment NPD
• Premier Medical Associates of Florida LLC

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1366046179
  Medicare reassignment NPD
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Groveland, FL
  • NPI 1255415535
  NPD
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1396829677
  NPD
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1710259965
  NPD
• Premier Medical Associates of Florida LLC

  dba Pioneer Clinical Labs

  • Clinical Laboratory Director (Non-physician)
  • Ocala, FL
  • NPI 1417475872
  NPD
• Lina L Feaster PA

  • Primary Care Clinic/Center
  • St Augustine, FL
  • NPI 1922205251
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1811663131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-905-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 1ST ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485150",
            "telephone_number": "407-905-8827",
            "fax_number": "352-360-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ ALICEA",
        "first_name": "OMAR",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Valente, MD
• Kevin Wayne Vanwart, PT
• Anthony Vastano, RPT
• Sammy Dwight Vaught, M.D.
• Ali A. Vaziri, D.M.D.
• Shannan L Veit, FNP-BC
• Henry C Veldenz, M.D.
• Marays Veliz, MD
• Duarte Velosa, PA
• David Vendryes

• General Practice Physician in Leesburg, FL
• Providers in Leesburg, 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 May 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.