Pauletta Medrano Vazquez

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

30212716 Issued in FL

Practice address

9100 S Dadeland Blvd
Miami, FL 33156-7814

Phone

(305) 351-3135

NPI assigned

Nov 13, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A1 Recovery Center LLC

  • Attendant Care Provider
  • Miami, FL
  • NPI 1598444390
  NPD

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1861216194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19330 SW 134TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774133",
            "telephone_number": "305-987-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 S DADELAND BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567814",
            "telephone_number": "305-351-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO VAZQUEZ",
        "first_name": "PAULETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "FL",
            "license": "30212716",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "FL",
            "license": "30212716",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "30212716",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "30212716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medpro LC
• Medquest, LLC (Medquest Media)
• Evelyn Medrano Acosta
• Jessica Medrano Lantigua
• Medrano Medical Center Inc
• Ivan Maximialliano Medrano Jr., FNP-BC
• Jose Medrano
• Katherine Marie Medrano, MD
• Luz Isel Medrano, ARNP
• Melanie Victoria Medrano, LMHC

• Attendant Care Provider in Miami, FL
• Providers in Miami, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.