Individual provider Active NPI

Nitzmari Melendez-Vazquez, M. D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Orlando, FL
National Provider Identifier
1861704447
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME130250 Issued in FL
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

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228002725 FL Practitioner - Neurology 2062654148 Reassigns benefits to 1 organization

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
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

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

LicenseStateTypeSpecialty
ME130250FLMDNeurology with Special Qualifications in Child Neurology Physician
18478PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Jan 9, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 9, 2017 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

  • Direct secure messaging: nmelendezvazquez71405@epicdirect.hf.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.