Mr Carlos D Amy Vazquez, MD is a medicare enrolled "General Practice" physician in Interlachen, Florida. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Rural Health Care Inc, Lake Area Physical Therapy Inc., Rural Health Care Inc and his current practice location is
1213 State Road 20, Interlachen, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 684-4914.
Mr Carlos D Amy Vazquez is licensed to practice in Florida (license number ACN1030) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1417902685.
Physician's Profile
| Full Name | Mr Carlos D Amy Vazquez |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 24 Years |
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| Location | 1213 State Road 20, Interlachen, Florida |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Carlos D Amy Vazquez graduated from medical school in 2002
NPI Data:
- NPI Number: 1417902685
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 03/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305855438
- Enrollment ID: I20060418000237
Medical Identifiers
Medical identifiers for Mr Carlos D Amy Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417902685 | NPI | - | NPPES |
| 15813 | Other | PR | MEDICAL LICENSE |
| ACN1030 | Other | FL | FLORIDA MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 15813 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN1030 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rural Health Care Inc | 7214849520 | 27 |
| Lake Area Physical Therapy Inc. | 3678604840 | 252 |
| Rural Health Care Inc | 7214849520 | 27 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Carlos D Amy Vazquez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Carlos D Amy Vazquez, MD
1302 River St,
Palatka, FL 32177-5042
Ph: (386) 328-0108 | Mr Carlos D Amy Vazquez, MD
1213 State Road 20,
Interlachen, FL 32148-2737
Ph: (386) 684-4914 |
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