Individual provider Active NPI

Jenny Suarez Vazquez, FNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1912585068
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN11016479 Issued in FL
Practice address
301 NW 179TH Ave Ste 102
Pembroke Pines, FL 33029-2817
Phone
(954) 447-1446
Fax
(954) 241-4147
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN11016479 FL Primary

Addresses

Primary practice location

301 NW 179TH Ave Ste 102
Pembroke Pines, FL 33029-2817

Mailing address

17961 NW 86TH Ave
Hialeah, FL 33015-2506
Phone (786) 338-1216

Other practice location 1

6175 NW 153rd St Ste 332
Miami Lakes, FL 33014-2457
Phone (954) 447-1446

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920001184 FL Practitioner - Nurse Practitioner 0244615722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11016479FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Labiste Medical and Wellness Center, Inc CurrentSince Feb 8, 2023 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Nov 3, 2022 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

6175 NW 153rd St
Ste 332
Miami Lakes, FL 33014
Phone (954) 447-1446

1951 SW 172nd Ave
Ste 212
Miramar, FL 33029
Phone (954) 507-4494

301 NW 179th Ave
Ste 102
Pembroke Pines, FL 33029
Phone (954) 447-1446

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1912585068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17961 NW 86TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152506",
            "telephone_number": "786-338-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 179TH AVE STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292817",
            "telephone_number": "954-447-1446",
            "fax_number": "954-241-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6175 NW 153rd St Ste 332",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142457",
            "country_code": "US",
            "telephone_number": "954-447-1446",
            "fax_number": "954-241-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JENNY",
        "middle_name": "SUAREZ",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11016479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.