Organization Active NPI

Vitalcare Family Medicine and Anti-Aging Clinic, LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1881582963
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VITALCARE FAMILY MEDICINE AND ANTI-AGING CLINIC, LLC
Practice address
5941 NW 173Rd Dr Unit B-4
Hialeah, FL 33015-5109
Phone
(954) 544-6411
Fax
(954) 838-5412
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Dr. Roberto Lazaro Rodriguez Baez, DHSC, RNNPI 1841131984
Title
President
Phone
(407) 405-5565

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5941 NW 173Rd Dr Unit B-4
Hialeah, FL 33015-5109

Mailing address

5941 NW 173Rd Dr Unit B-4
Hialeah, FL 33015-5109
Phone (954) 544-6411

Other names 1

  • VitalCare Family Medicine and Anti-Aging Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250820002205 FL Part B Supplier - Clinic/Group Practice 1557860038 Receives reassigned benefits from 1 practitioner
Practice locations: Miramar, FL

National Provider Directory

National Provider Directory

Locations

5941 NW 173rd Dr
Unit B4
Miami Gardens, FL 33015
Phone (305) 807-9372

7951 Riviera Blvd
Ste 305
Miramar, FL 33023
Phone (407) 405-5565

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1881582963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 NW 173RD DR UNIT B-4",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155109",
            "telephone_number": "954-544-6411",
            "fax_number": "954-838-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 NW 173RD DR UNIT B-4",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155109",
            "telephone_number": "954-544-6411",
            "fax_number": "954-838-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE FAMILY MEDICINE AND ANTI-AGING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ BAEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-405-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHSC, RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VitalCare Family Medicine and Anti-Aging Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.