Active NPI
MDC Vitacare LLC
- General Practice Physician
- Miami, FL
National Provider Identifier
1174464705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MDC VITACARE LLC
- Practice address
- 9930 SW 40TH St
Miami, FL 33165-3944 - Phone
- (786) 558-4449
- Fax
- (786) 936-6655
- NPI assigned
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maby De la Caridad Gonzalez Prieto
- Title
- Owner
- Phone
- (786) 558-4449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
9930 SW 40TH St
Miami, FL 33165-3944
Mailing address
9930 SW 40TH St
Miami, FL 33165-3944
Phone (786) 558-4449
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2342599 | MDC Vitacare LLC | Certificate of waiver | Apr 21, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1174464705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653944",
"telephone_number": "786-558-4449",
"fax_number": "786-936-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653944",
"telephone_number": "786-558-4449",
"fax_number": "786-936-6655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDC VITACARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-06",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "GONZALEZ PRIETO",
"authorized_official_first_name": "MABY",
"authorized_official_middle_name": "DE LA CARIDAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-558-4449"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.