MEDICARE: KEVIN VAZQUEZ

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	106S00000X	Behavior Technician	RBT-23-280443	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487334736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN VAZQUEZ

Provider Business Mailing Address
First Line	:	5830 W 18TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7590
Country	:	US
Telephone Number	:	786-316-7477
Fax Number	:

Provider Business Practice Location Address
First Line	:	5830 W 18TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7590
Country	:	US
Telephone Number	:	786-316-7477
Fax Number	:

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

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	07/21/2023

Similar Medicare Providers

1922530625 — JOSE ANTONIO ORTA
Practice Location Address:

5826 W 18TH AVE
HIALEAH, FL
33012-7590

Practice Phone: 786-380-6142
Practice Fax:

1063512960 — EDGARDO B. PENABAD MD
Practice Location Address:

7590 NW 186TH ST
HIALEAH, FL
33015-2952

Practice Phone: 786-953-6293
Practice Fax: 786-953-6891

1831321694 — MAGGIES PHARMACY INC
Practice Location Address:

7590 NW 186TH ST STE 109
HIALEAH, FL
33015-2952

Practice Phone: 305-818-0863
Practice Fax: 305-818-0864

1598045478 — MIRACLE REHAB CENTER, INC
Practice Location Address:

7590 NW 186TH ST , STE 209
HIALEAH, FL
33015-2952

Practice Phone: 305-817-1140
Practice Fax:

1891042693 — G&S MEDICAL AND REHABILITATION CENTER, INC
Practice Location Address:

7590 NW 186TH ST STE 104
HIALEAH, FL
33015-2952

Practice Phone: 305-819-7880
Practice Fax:

1710302286 — AFFILIATED COUNSELING CENTER
Practice Location Address:

7590 NW 186TH ST , SUITE 208
HIALEAH, FL
33015-2952

Practice Phone: 305-362-8326
Practice Fax: 305-362-1244

Directions to “ KEVIN VAZQUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.