D de la Vega MD P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME67856 Issued in FL

Legal business name

D DE LA VEGA MD P A

Practice address

11093 NW 138TH St Unit 112
Hialeah Gardens, FL 33018-1190

Phone

(305) 552-0303

Fax

(305) 554-0709

NPI assigned

May 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dagoberto De la Vega, MDNPI 1114979671

Title

President

Phone

(305) 298-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dagoberto De la Vega, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1114979671
  Medicare reassignment NPD Authorized official
• Rafael E Alfonzo, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1497853741
  NPD (past)
• Francisco M Macias, MD

  • General Practice Physician
  • Coral Gables, FL
  • NPI 1659324127
  NPD (past)
• Gloria Mendizabal Piedra

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1467410431
  NPD (past)
• Dulce Maria Rodriguez

  • Assisted Living Facility
  • Miami, FL
  • NPI 1114257094
  NPD (past)
• Mayda Caridad Gonzalez, APRN

  • Adult Health Nurse Practitioner
  • Minnetonka, MN
  • NPI 1932404753
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1063464527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11093 NW 138TH ST UNIT 112",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181190",
            "telephone_number": "305-552-0303",
            "fax_number": "305-554-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11093 NW 138TH ST UNIT 112",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181190",
            "telephone_number": "305-552-0303",
            "fax_number": "305-554-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D DE LA VEGA MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "DE LA VEGA",
        "authorized_official_first_name": "DAGOBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-298-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377494501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER#",
            "identifier": "26980",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Cuik, M.D
• Yorma Cunill Sardinas
• Orlando Curbelo Pardillo
• Glender De Jesus Curras, BS,MS
• D & J Medical Health Inc
• Daily Services Medical Equipment, Inc.
• David S Forrest OD PA
• Brian Alexander Davis
• Day to Day Behavioral Services LLC
• Daymay De Francisco, RN, BSN, CCRN, IBCLC

• Internal Medicine Physician in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.