Active NPI
Paula Xiomara Vega, PRECIDENTE
- Parenteral & Enteral Nutrition Supplies (DME)
- Medley, FL
National Provider Identifier
1669403358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Practice address
- 8264 NW South River Dr
Medley, FL 33166-7451 - Phone
- (305) 885-0740
- Fax
- (305) 332-5459
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 04548 | FL | |
| Prosthetic/Orthotic Supplier | 335E00000X | ORF 148 | FL |
Addresses
Primary practice location
8264 NW South River Dr
Medley, FL 33166-7451
Mailing address
8264 NW South River Dr
Medley, FL 33166-7451
Phone (305) 885-0740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R9129 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04548 | FL | MD | Oxygen Equipment & Supplies (DME) |
| ORF 148 | FL | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Care Medical Supplies | Parenteral & Enteral Nutrition | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oxygen Equipment & Supplies (DME)
- Medley, FL
- NPI 1578743712
Parenteral & Enteral Nutrition
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669403358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8264 NW SOUTH RIVER DR",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331667451",
"telephone_number": "305-885-0740",
"fax_number": "305-332-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8264 NW SOUTH RIVER DR",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331667451",
"telephone_number": "305-885-0740",
"fax_number": "305-332-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "PAULA",
"middle_name": "XIOMARA",
"name_prefix": "Miss",
"credential": "PRECIDENTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "FL",
"license": "04548",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "ORF 148",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "R9129",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.