Individual provider Active NPI

Mildred Vazquez Garcia, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1841383262
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1328 Issued in FL
Practice address
810 N Nowell St
Orlando, FL 32808-7539
Phone
(407) 290-9556
Fax
(407) 630-6884
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075420 MI
General Practice Physician 208D00000X ACN1328 FL Primary

Addresses

Primary practice location

810 N Nowell St
Orlando, FL 32808-7539

Mailing address

509 Cagan View Rd
Clermont, FL 34714-6405
Phone (407) 905-8827

Other identifiers 1

IdentifierTypeStateIssuer
110026300MedicaidFL

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
I20210409000492 FL Practitioner - General Practice 6507873585 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc CurrentSince Dec 6, 2021 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc CurrentSince Dec 6, 2021 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
First Ideal Enterprises Inc. General Practice Past Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients
At Home Physicians Managing Co PastSince Mar 1, 2010 Accepting new patients
Mme Enterprises Inc Past Accepting new patients
Idelis Fedeslinda Arias de la Torre General Practice PastSince Jun 1, 2021 Accepting new patients
Community Health Centers, Inc. Past Accepting new patients
Embrace Home Physicians PLLC Internal Medicine PastSince Nov 21, 2016 Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

509 Cagan View Rd
Clermont, FL 34714
Phone 40790588271028

1296 W Broad St
Groveland, FL 34736
Phone (352) 429-4104

7900 Forest City Rd
Orlando, FL 32810
Phone (407) 614-5337

840 Mercy Dr
Pine Hills, FL 32808

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

110 S Woodland St
Winter Garden, FL 34787

Organizations & group practices 11

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1841383262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CAGAN VIEW RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146405",
            "telephone_number": "407-905-8827",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087539",
            "telephone_number": "407-290-9556",
            "fax_number": "407-630-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ GARCIA",
        "first_name": "MILDRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075420",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.