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MR. CARLOS D AMY VAZQUEZ M.D.
NPI 1417902685
General Practice in Interlachen, FL

Active since May 24, 2006PECOS Enrolled
1213 STATE ROAD 20, INTERLACHEN, FL 32148(386) 684-4914(386) 684-6524 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2019, Mar 26, 2018 (2 updates tracked since 2018).

About Mr. Carlos D Amy Vazquez M.d. NPPES

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

MR. CARLOS D AMY VAZQUEZ M.D. (NPI 1417902685) is an individual general practice provider in Interlachen, Florida, licensed in Florida (ACN1030) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Putnam Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1417902685
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. CARLOS D AMY VAZQUEZCredential: M.D.
Location Address1213 STATE ROAD 20Interlachen, FL 32148-2737
Mailing Address1302 River StPalatka, FL 32177-5042 · (386) 328-0108 · Fax (386) 325-1086
Phone(386) 684-4914
Fax(386) 684-6524
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMay 24, 2006
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1417902685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1030✔ Licensed in PR · 15813
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1213 STATE ROAD 20, Interlachen, FL 32148
Open in Google Maps ↗

Other Identifiers 2

Other15813PR · Medical License
OtherACN1030FL · Florida Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlos D Amy Vazquez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305855438
PECOS Enrollment IDI20060418000237, I20180502002850
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
66 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Other Providers at the Same Location NPPES 6

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

JOHN T PHIPPS LCSW
Social Worker (Clinical)
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Putnam County (386) 684-4914
AMANDA WILLARD APRN
Nurse Practitioner (Family)
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Putnam County (904) 698-9098
RURAL HEALTH CARE INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Putnam County (386) 684-4914
RURAL HEALTH CARE, INC.
Pharmacy (Community/Retail Pharmacy)
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Putnam County (386) 684-2407
MR. JOSEPH ANTHONY ALTAMIRANDO P.A.
Physician Assistant
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Putnam County (386) 684-4914
JULIE ELWOOD
Social Worker (Clinical)
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Putnam County (386) 684-4914

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 Carlos D Amy Vazquez's NPI number?

The NPI number for Carlos D Amy Vazquez is 1417902685. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Carlos D Amy Vazquez located?

Carlos D Amy Vazquez practices at 1213 State Road 20, Interlachen, FL 32148. The listed phone number is (386) 684-4914.

What is Carlos D Amy Vazquez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carlos D Amy Vazquez enrolled in Medicare?

Yes. Carlos D Amy Vazquez is registered in the Medicare PECOS enrollment system.

What insurance does Carlos D Amy Vazquez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Carlos D Amy Vazquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carlos D Amy Vazquez affiliated with any hospitals?

According to CMS data, Carlos D Amy Vazquez is affiliated with Hca Florida Putnam Hospital.

When was this NPI record last updated?

The NPPES record for Carlos D Amy Vazquez was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.