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D DE LA VEGA MD P A
NPI 1063464527
Internal Medicine in Hialeah Gardens, FL

Active since May 16, 2006CLIA 10D2163252 · Waiver
11093 NW 138TH ST UNIT 112, HIALEAH GARDENS, FL 33018(305) 552-0303(305) 554-0709 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About D De La Vega Md P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D DE LA VEGA MD P A (NPI 1063464527) is a healthcare organization registered as an internal medicine in Hialeah Gardens, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Dagoberto De La Vega, President, as its authorized official.

NPPES Registry Identity

NPI1063464527
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameD DE LA VEGA MD P A
Location Address11093 NW 138TH ST UNIT 112Hialeah Gardens, FL 33018-1190
Mailing Address11093 Nw 138th St Unit 112Hialeah Gardens, FL 33018-1190 · (305) 552-0303 · Fax (305) 554-0709
Phone(305) 552-0303
Fax(305) 554-0709
Organization SubpartNo
Authorized OfficialDagoberto De La VegaPresident · (305) 298-9100
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 19, 2020
✔ NPI 1063464527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME67856
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11093 NW 138TH ST UNIT 112, Hialeah Gardens, FL 33018
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Other Identifiers 2

Medicaid377494501FL
Other26980FL · Bcbs Provider#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2163252

D De La Vega MD PA · Hialeah Gardens, FL
Active · expires Mar 10, 2027
CLIA Number10D2163252
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorDagoberto De La Vega
Laboratory Phone(305) 552-0303
Laboratory LocationD De La Vega MD PA11093 NW 138 St Ste 112, Hialeah Gardens, FL 33018
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D De La Vega MD P A's NPI number?

The NPI number for D De La Vega MD P A is 1063464527. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is D De La Vega MD P A located?

D De La Vega MD P A is located at 11093 NW 138th St Unit 112, Hialeah Gardens, FL 33018. The listed phone number is (305) 552-0303.

What is D De La Vega MD P A's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does D De La Vega MD P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2163252) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does D De La Vega MD P A accept?

Health plans from Wellpoint list D De La Vega MD P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for D De La Vega MD P A was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.