MAURICIO VAZQUEZ PA-C
NPI 1629845128
Physician Assistant - Surgical in Jacksonville, FL

Q: What is Mauricio Vazquez's NPI number?

The NPI number for Mauricio Vazquez is 1629845128. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Q: What is Mauricio Vazquez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mauricio Vazquez was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 05, 2023PECOS EnrolledAccepts Medicare Assignment

3627 UNIVERSITY BLVD S STE 135, JACKSONVILLE, FL 32216(904) 398-8147(904) 400-6674 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Apr 10, 2024, Dec 5, 2023 (3 updates tracked since 2023).

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About Mauricio Vazquez Pa-c NPPES

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

MAURICIO VAZQUEZ PA-C (NPI 1629845128) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9118615) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629845128

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMAURICIO VAZQUEZCredential: PA-C

Location Address3627 UNIVERSITY BLVD S STE 135Jacksonville, FL 32216-4231

Mailing Address1824 King St Ste 200Jacksonville, FL 32204-4736 · (904) 384-3343 · Fax (904) 400-6671

Phone(904) 398-8147

Fax(904) 400-6674

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 5, 2023

Last NPPES UpdateMarch 31, 20253 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1629845128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9118615

3627 UNIVERSITY BLVD S STE 135, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mauricio Vazquez Pa-c 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 ID1658814652

PECOS Enrollment IDI20240618004548

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.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100179

Location3625 University Blvd SJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

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