DR. LILLIAM VAZQUEZ MALDONADO (M.D.) – Family Medicine Physician, NPI 1235198920
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LILLIAM VAZQUEZ MALDONADO (M.D.)
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Type: Mailing
7444 PALM RIVER RD
TAMPA, FL 336194128
Phone: (813) 392-1894
Type: Location
1400 NW 107TH AVE STE 500
SWEETWATER, FL 331722746
Phone:
Type: Mailing
1608 W OAK AVE
PLANT CITY, FL 335637295
Phone: (813) 418-6599
Fax: (863) 419-9547
Type: Location
2201, North Boulevard West, Haines City, Polk County, Florida, 33837, United States
HACIENDA FLORIDA
DAVENPORT, FL 338374507
Phone: (863) 419-0688
Fax: (863) 419-9547
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-04-20
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 |
|---|---|---|---|---|
| I20200420002694 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33126)
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