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

Dr. Martin Giovanni Vazquez Miranda, MD

Individual provider General Practice Physician · NPI 1609618743

Dr. Martin Giovanni Vazquez Miranda, MD is a General Practice in Jacksonville, Florida. Qualified in 2010, 16 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
16
Licensed in
FL, PR
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1028 Dunn Ave
Jacksonville, FL 32218-4830
Phone: (904) 766-7606
Fax: (904) 766-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 23729 (PR)
Family Medicine Physician Taxonomy 207Q00000X · Licence ACN1670 (FL)

Record details

NPI number1609618743
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2024
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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