Rafael Antonio De la Vega, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HSE Issued in FL

Practice address

7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728

Phone

(305) 909-9805

NPI assigned

Jun 12, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1407530348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7864 NW 171ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153842",
            "telephone_number": "305-332-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 600",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434728",
            "telephone_number": "305-909-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA VEGA",
        "first_name": "RAFAEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "HSE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier De la Fuente Balboa, DMD
• Adriel De la Paz
• Mariano De la Riva, D.D.S.
• Zoany De la Rosa, DDS
• Kristen Monique De la Rua, LMT
• Brady De Las Nueces, MD
• Carmen Luz De Lerma, M.D.
• Debbie Leiter RPT PA
• Debra G Kenward MD PA
• Deirdre M. Marshall, MD., PA

• General Practice Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.