Gerardo Antonio Vazquez Garcia

M.D. | Pediatric Pulmonology | Male

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Complete Profile:

Gerardo Antonio Vazquez Garcia basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Gerardo Antonio Vazquez Garcia
Credential :	M.D.
Gender :	Male

Business Address:

Gerardo Antonio Vazquez Garcia address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	807 Childrens Way Jacksonville, FL, 32207-8426 United States
Phone Number :	904-697-3600

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1386901585
NPI Entity Type :	Individual
First Enrolment Date :	12 Apr, 2012
Last Updated On :	17 Jan, 2020

Medicare Participation:

Gerardo Antonio Vazquez Garcia participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2264772060
Medicare Enrollment ID :	I20190313002692
Primary Specialty :	Pediatric Medicine
Medical School :	Ponce School Of Medicine
Graduation Year :	2012
Accepts Medicare?	Yes. Gerardo Antonio Vazquez Garcia accepts medicare insurance.

Group Practice Association:

Gerardo Antonio Vazquez Garcia is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Gerardo Antonio Vazquez Garcia is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Nemours Foundation	9537072483	135	807 Childrens Way Childrens Clinic Jacksonville, FL - 322078426 Ph: 9043903600	Yes
The Nemours Foundation	9537072483	135	14785 Old Saint Augustine Rd Jacksonville, FL - 322582496 Ph: 9046973707	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gerardo Antonio Vazquez Garcia are as mentioned. Primary taxonomy code for Gerardo Antonio Vazquez Garcia, M.D. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No		NY
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	ME138331	FL

Legacy Identifiers:

Other legacy medical identifiers of Gerardo Antonio Vazquez Garcia such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
101436300	MEDICAID	FL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	10140 Centurion Pkwy N Jacksonville, FL, 32256-0532 United States
Phone Number :	904-697-3610

Business Location:

Patients can refer following map for directions to Gerardo Antonio Vazquez Garcia practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.