Individual provider Active NPI

Caridad Mayte Cancio Vega, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1124383716
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME123483 Issued in FL
Practice address
1422 NW 7TH St
Miami, FL 33125-3700
Phone
(305) 631-8080
Fax
(305) 631-8030
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME123483 FL Primary

Addresses

Primary practice location

1422 NW 7TH St
Miami, FL 33125-3700

Mailing address

14420 SW 22ND St
Miami, FL 33175-6338
Phone (059) 686-5473

Other practice location 1

8400 NW 33rd St
Doral, FL 33122
Phone (786) 408-8502

Other practice location 2

8400 NW 33rd St
Doral, FL 33122-2008
Phone (786) 408-8502

Other identifiers 1

IdentifierTypeStateIssuer
015089100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1124383716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 SW 22ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756338",
            "telephone_number": "059-686-5473",
            "fax_number": "056-318-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253700",
            "telephone_number": "305-631-8080",
            "fax_number": "305-631-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 NW 33rd St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "33122",
            "country_code": "US",
            "telephone_number": "786-408-8502",
            "fax_number": "786-621-7815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8400 NW 33rd St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331222008",
            "country_code": "US",
            "telephone_number": "786-408-8502",
            "fax_number": "786-621-7815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCIO VEGA",
        "first_name": "CARIDAD",
        "middle_name": "MAYTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015089100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.