Active NPI
Jenny Suarez Vazquez, FNP-BC
- Obstetrics & Gynecology Nurse Practitioner
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- APRN11016479
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016479 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labiste Medical and Wellness Center, Inc | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Current | 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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1073105227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.