MR. CARLOS D AMY VAZQUEZ (M.D.) – General Practice Physician, NPI 1417902685
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,466 GENERAL PRACTICE in FL
Provider Addresses for MR. CARLOS D AMY VAZQUEZ (M.D.)
1302 RIVER ST
PALATKA, FL 321775042
Phone: (386) 328-0108
Fax: (386) 325-1086
Type: Mailing
1213 STATE ROAD 20
INTERLACHEN, FL 321482737
Phone: (386) 684-4914
Fax: (386) 684-6524
Type: Location
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Phone: (561) 420-8555
Type: Location
4 Calle Constitucion
Santa Isabel, PR 007572404
Phone: (787) 210-0638
Type: Location
2007, Palm Beach Lakes Boulevard, West Palm Beach, Palm Beach County, Florida, 33409, United States
WEST PALM BEACH, FL 334096501
Phone: (561) 420-8555
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $309.
Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: ABBVIE INC. ($279).
Total Amount
$309
General + Research + Ownership
Payments
13
Total payment records
General Amount
$309
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $279 |
| Alexion Pharmaceuticals, Inc. | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180502002850 | I | General Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 68 | 38 | $0 |
Insurance plans in this area (ZIP 32177)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | OH | |
| - | FL | |
| - | TX | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL |
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