Organization
MIDAMERICA CARDIOVASCULAR INSTITUTE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J VAZQUEZ-BAUZA MD (PRESIDENT)
(402) 393-8443
Entity
Organization
Contact information
Practice address
8552 CASS ST STE 201, OMAHA, NE 68114-3570
(402) 393-8443
(402) 393-8677
Mailing address
8552 CASS ST STE 201, OMAHA, NE 68114-3570
(402) 393-8443
(402) 393-8677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19943
NE
207RC0000X
Cardiovascular Disease Physician
Primary
19950
NE
207RC0000X
Cardiovascular Disease Physician
20956
NE
363LA2200X
Adult Health Nurse Practitioner
110706
NE
363LF0000X
Family Nurse Practitioner
110198
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024986600
—
NE
05
—
10024986800
—
NE
Enumeration date
07/21/2006
Last updated
06/11/2014
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