Active NPI
Ramon Vazquez Jr., MD
- Surgery Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME85650
- Practice address
- 3370 Burns Rd
Suite 102
Palm Beach Gardens, FL 33410-4327 - Phone
- (561) 694-6911
- Fax
- (561) 625-3239
- NPI assigned
- May 25, 2006
- Last updated
- Apr 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME 85650 | FL | |
| Surgery Physician | 208600000X | ME85650 | FL | Primary |
| Surgical Critical Care Physician | 2086S0102X | ME 85650 | FL | |
| Trauma Surgery Physician | 2086S0127X | ME 85650 | FL | |
| Vascular Surgery Physician | 2086S0129X | ME 85650 | FL | |
| Surgical Oncology Physician | 2086X0206X | ME 85650 | FL | |
| Colon & Rectal Surgery Physician | 208C00000X | ME 85650 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME 85650 | FL |
Addresses
Primary practice location
3370 Burns Rd
Suite 102
Palm Beach Gardens, FL 33410-4327
Mailing address
560 Village Blvd
Ste 200
West Palm Beach, FL 33409-1963
Phone (561) 694-6911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275452500 | Medicaid | FL | |
| 81495 | Other | FL | BLUE CROSS/BLUE SHIELD |
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
- General Surgery
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
560 Village Blvd
Suite 200
West Palm Beach, FL 33409-1963
Phone (561) 694-6911
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 56 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85650 | FL | MD | Surgery Physician |
| ME 85650 | FL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramon Vazquez Jr MD PA | Surgery | Current | Accepting new patients |
Locations
3370 Burns Rd
Ste 102
Palm Beach Gardens, FL 33410
Phone (561) 622-2900
560 Village Blvd
Ste 200
West Palm Beach, FL 33409
Phone (561) 686-3666
Interoperability endpoints
- lmcrvazqu@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Palm Beach Gardens, FL
- NPI 1114116597
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1255221586
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1952357626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 VILLAGE BLVD",
"address_2": "STE 200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091963",
"telephone_number": "561-694-6911",
"fax_number": "561-625-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 BURNS RD",
"address_2": "SUITE 102",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104327",
"telephone_number": "561-694-6911",
"fax_number": "561-625-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "RAMON",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME 85650",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME85650",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME 85650",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME 85650",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME 85650",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "FL",
"license": "ME 85650",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME 85650",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME 85650",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275452500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "81495",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.