Individual provider Active NPI

Ana Rivas Vazquez, PHD

  • Psychologist
  • Miami, FL
National Provider Identifier
1922153717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1385 Coral Way Ste 402
Miami, FL 33145-2941
Phone
(305) 858-3085
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1385 Coral Way Ste 402
Miami, FL 33145-2941

Mailing address

1385 Coral Way Ste 402
Miami, FL 33145-2941
Phone (305) 858-3085

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000196 FL Practitioner - Clinical Psychologist 7719951003 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Miami, LM Miller School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1385 Coral Way
Suite 402
Miami, FL 33145-2941
Phone (305) 858-3085

8600 SW 92ND St
Suite 202
Miami, FL 33156-7377
Phone (305) 858-3085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel a Flores MD PA Past Accepting new patients
Roberto a. Hernando MD PA Past Accepting new patients
Oscar J Dominguez M.D. P.a, Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922153717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 CORAL WAY STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452941",
            "telephone_number": "305-858-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 CORAL WAY STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452941",
            "telephone_number": "305-858-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS VAZQUEZ",
        "first_name": "ANA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.