Active NPI
Vitacare Medical Group, LLC.
- Primary Care Clinic/Center
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- VITACARE MEDICAL GROUP, LLC.
- Practice address
- 10453 SW 40TH St
Miami, FL 33165-3753 - Phone
- (786) 684-6845
- NPI assigned
- Feb 20, 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
- Imayacil Marzo Hernandez, RN, MSN
- Title
- Administrator
- Phone
- (786) 684-6845
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
10453 SW 40TH St
Miami, FL 33165-3753
Mailing address
10453 SW 40TH St
Miami, FL 33165-3753
Phone (786) 580-5182
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 |
|---|---|---|---|
| 10D2343178 | Vitacare Medical Group, LLC | Certificate of waiver | May 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
10453 SW 40th St
Miami, FL 33165
Phone (786) 580-5182
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Miami, FL
- NPI 1326953795
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1013334333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1700730462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10453 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653753",
"telephone_number": "786-580-5182",
"fax_number": "806-278-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10453 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653753",
"telephone_number": "786-684-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITACARE MEDICAL GROUP, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-20",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "MARZO HERNANDEZ",
"authorized_official_first_name": "IMAYACIL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-684-6845",
"authorized_official_credential": "RN, MSN"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"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 May 7, 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.