MANUEL VAZQUEZ MD
NPI 1306698949
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 05, 2024PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, Apr 3, 2025, Apr 5, 2024 (3 updates tracked since 2024).

About Manuel Vazquez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANUEL VAZQUEZ MD (NPI 1306698949) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Lauderdale, and is a graduate of Univ Of Central Florida, College Of Medicine (2024).

NPPES Registry Identity

NPI1306698949
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMANUEL VAZQUEZCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 355-1122
Sole ProprietorNo
Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2024
Enumeration DateApril 5, 2024
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1306698949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 14725 N Federal HwyFort Lauderdale, FL 33308-4603 · Phone (954) 542-3359

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel Vazquez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557829959
PECOS Enrollment IDI20260817000549
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Manuel Vazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Oncology
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manuel Vazquez's NPI number?

The NPI number for Manuel Vazquez is 1306698949. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Manuel Vazquez located?

Manuel Vazquez practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Manuel Vazquez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Manuel Vazquez enrolled in Medicare?

Yes. Manuel Vazquez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Manuel Vazquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Vazquez reassigns Medicare benefits to University Of Miami (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manuel Vazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Manuel Vazquez was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.