Individual provider Active NPI

Maria Alejandra Perez Vasquez

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1821979113
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041808 Issued in FL
Practice address
809 E Oak St Ste 106107
Kissimmee, FL 34744-5834
Phone
(407) 201-3977
Fax
(321) 340-3496
NPI assigned
Sep 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11041808 FL Primary

Addresses

Primary practice location

809 E Oak St Ste 106107
Kissimmee, FL 34744-5834

Mailing address

809 E Oak St Ste 106107
Kissimmee, FL 34744-5834
Phone (407) 201-3977

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11041808FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalize Medical & Aesthetic Wellness Center LLC Single Specialty Current Accepting new patients

Locations

809 E Oak St
Ste 106107
Kissimmee, FL 34744
Phone (407) 201-3977

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1821979113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E OAK ST STE 106107",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445834",
            "telephone_number": "407-201-3977",
            "fax_number": "321-340-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E OAK ST STE 106107",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445834",
            "telephone_number": "407-201-3977",
            "fax_number": "321-340-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VASQUEZ",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.