Active NPI
Lazaro Mario Vazquez Moreira, APRN
- Family Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1821763392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F07211604
- Practice address
- 1550 Barkley Cir
Fort Myers, FL 33907-4539 - Phone
- (239) 938-2000
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F07211604 | FL | Primary |
Addresses
Primary practice location
1550 Barkley Cir
Fort Myers, FL 33907-4539
Mailing address
1550 Barkley Cir
Fort Myers, FL 33907-4539
Phone (239) 938-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07211604 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keys Cardiology PA | Past | Accepting new patients | |
| DRS. Raja & Raja, PA | Past | Accepting new patients | |
| Center for Health of Charlotte PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Punta Gorda, FL
- NPI 1124276167
-
- Specialist
- Englewood, FL
- NPI 1174810642
-
- Cardiovascular Disease Physician
- Lehigh Acres, FL
- NPI 1386740033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1821763392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 BARKLEY CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074539",
"telephone_number": "239-938-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 BARKLEY CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074539",
"telephone_number": "239-938-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ MOREIRA",
"first_name": "LAZARO",
"middle_name": "MARIO",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F07211604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.