MEDICARE: FELIX SERGIO VAZQUEZ NEGRIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	17620	PR

General Provider Information

NPI Number	:	1407706559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELIX SERGIO VAZQUEZ NEGRIN MD

Provider Business Mailing Address
First Line	:	15106 PALMER LAKE CIR UNIT 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-9059
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15106 PALMER LAKE CIR UNIT 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-9059
Country	:	US
Telephone Number	:	239-564-4524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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