De la Vega Medical Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DE LA VEGA MEDICAL CENTER, LLC

Practice address

11093 NW 138 Street, Suite 121
Hialeah Gardens, FL 33018

Phone

(786) 600-4040

Fax

(786) 953-5174

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Jose R Perez

Title

Manager

Phone

(786) 600-4040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dagoberto De la Vega, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1114979671
  Medicare reassignment NPD

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1861907677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11093 NW 138 STREET, SUITE 121",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "33018",
            "fax_number": "786-953-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11093 NW 138 STREET, SUITE 121",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "786-600-4040",
            "fax_number": "786-953-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA VEGA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-600-4040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Day to Day Behavioral Services LLC
• Daymay De Francisco, RN, BSN, CCRN, IBCLC
• Militza De Jesus, RN
• Barbara Dianelys De la Torre
• Yurima Madelaine De la Torre
• Elianni M De Lara
• Gerardo De Leon
• Maydelin Del Llano Montelongo
• Del Risco Medical Services Corp
• Anthony Del Toro

• Clinic/Center in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.