Patricio Fernando Vaca Egas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030409 Issued in FL

Practice address

395 W 52ND St
Hialeah, FL 33012-3750

Phone

(305) 992-0288

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luz Y Vida Medical Care LLC

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1154261824
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1467102426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W 52ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 52ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123750",
            "telephone_number": "305-992-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACA EGAS",
        "first_name": "PATRICIO",
        "middle_name": "FERNANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030409",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hialeah",
            "affiliation": "N",
            "address_1": "395 W 52nd St",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330123750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• V&V Medical Center
• Vacruz Inc
• Dayana Vaillant Aranda
• Teddy Valarezo
• Ciro Alberto Valdeon, ED. S.
• Mirtha Valdera Barata

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.