Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Connan Vaca, MDPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619437357

Dr. Connan Vaca, MDPHD is an Anesthesiology in Miami, Florida. Graduated from Rutgers, Robert Woood Johnson Medical School in 2019, 7 years ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Rutgers, Robert Woood Johnson Medical School
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 585-6973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME162405 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619437357
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address333 Fern St Apt 1404, West Palm Beach, FL 33401-5971

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolRUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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