La Vida Medical Group Inc
A Medicare group practice based in Oldsmar, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2769880350), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2769880350
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20211012003000 | FL | Part B Supplier - Clinic/Group Practice | 1982377065 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
La Vida Medical Group , Inc
- Internal Medicine Physician
- Oldsmar, FL
- NPI 1982377065
-
La Vida Medical Group , Inc
- Internal Medicine Physician
- Tampa, FL
- NPI 1437960077
Practice locations
- Tampa, FL1
- Oldsmar, FL1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Francisco Tomas Fernandez Rodriguez, M.D.
- Internal Medicine Physician
- Tampa, FL
- NPI 1679985956
-
Sanlly Perez Ceballos, M.D.
- Internal Medicine Physician
- Tampa, FL
- NPI 1356728067
-
Mayelin Perez Reina, NP
- Family Nurse Practitioner
- St Petersburg, FL
- NPI 1831909985
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.