Active NPI
Nitzmari Melendez-Vazquez, M. D.
- Neurology with Special Qualifications in Child Neurology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- ME130250
- Practice address
- 615 E Princeton St Ste 540
Orlando, FL 32803-1424 - Phone
- (407) 303-9980
- Fax
- (407) 303-9987
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18478 | PR | |
| Pediatrics Physician | 208000000X | 006484 | GA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME130250 | FL | Primary |
Addresses
Primary practice location
615 E Princeton St Ste 540
Orlando, FL 32803-1424
Mailing address
615 E Princeton St Ste 540
Orlando, FL 32803-1424
Phone (407) 303-9980
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Ponce School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
615 E Princeton St
Suite 540
Orlando, FL 32803-1424
Phone (407) 303-8127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME130250 | FL | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 18478 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
265 E Rollins St
#6
Orlando, FL 32804
Phone (407) 303-6729
265 E Rollins St
Ste 6
Orlando, FL 32804
Phone (407) 303-6729
615 E Princeton St
Ste 101
Orlando, FL 32803
Phone (407) 236-0006
615 E Princeton St
Ste 540
Orlando, FL 32803
Phone (407) 303-8127
Interoperability endpoints
- nmelendezvazquez71405@epicdirect.hf.org
- nmelendezvazquez73344@adventhealth.direct-ci.com
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1861704447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST STE 540",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031424",
"telephone_number": "407-303-9980",
"fax_number": "407-303-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST STE 540",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031424",
"telephone_number": "407-303-9980",
"fax_number": "407-303-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ-VAZQUEZ",
"first_name": "NITZMARI",
"name_prefix": "Miss",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18478",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "006484",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME130250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.