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DR. MARTIN GIOVANNI VAZQUEZ MIRANDA MD
NPI 1609618743
General Practice in Jacksonville, FL

Active since June 10, 2024PECOS EnrolledAccepts Medicare Assignment
1028 DUNN AVE, JACKSONVILLE, FL 32218(904) 766-7606(904) 766-7679 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2025, Jun 10, 2024 (2 updates tracked since 2024).

About Dr. Martin Giovanni Vazquez Miranda Md NPPES

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

DR. MARTIN GIOVANNI VAZQUEZ MIRANDA MD (NPI 1609618743) is an individual general practice provider in Jacksonville, Florida, licensed in Puerto Rico (23729) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609618743
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARTIN GIOVANNI VAZQUEZ MIRANDACredential: MD
Location Address1028 DUNN AVEJacksonville, FL 32218-4830
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(904) 766-7606
Fax(904) 766-7679
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 10, 2024
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1609618743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 23729
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
Also ListedFamily MedicineTaxonomy 207Q00000X · License ACN1670 (FL)
1028 DUNN AVE, Jacksonville, FL 32218
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Martin Giovanni Vazquez Miranda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325532369
PECOS Enrollment IDI20251208004165
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 Martin Vazquez Miranda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conviva Medical Center Management LLC
331 mi
Internal Medicine
6101 BLUE LAGOON DR STE 200
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 535 clinicians in this Medicare group
NPI 1649324278 (305) 500-2000

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 4

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

DR. ALAN EKANEM MD
General Practice
1028 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 766-7606
MS. KRYSTAL E SHERAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1028 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 485-6739
DR. OBIOMA ANTHONY ESOMONU M.D.
General Practice
1028 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (047) 667-6069
NATASHA T INGRAM ARNP, FNP-C
Nurse Practitioner (Family)
1028 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 766-7606

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 Martin Vazquez Miranda's NPI number?

The NPI number for Martin Vazquez Miranda is 1609618743. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Martin Vazquez Miranda located?

Martin Vazquez Miranda practices at 1028 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (904) 766-7606.

What is Martin Vazquez Miranda's specialty?

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

Is Martin Vazquez Miranda enrolled in Medicare?

Yes. Martin Vazquez Miranda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Martin Vazquez Miranda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Vazquez Miranda reassigns Medicare benefits to Conviva Medical Center Management LLC (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 Martin Vazquez Miranda'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 Martin Vazquez Miranda was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.