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JOAN FERNANDEZ DE LA VEGA
NPI 1083468169
General Practice in Miami, FL

Active since April 15, 2024PECOS Enrolled
11510 QUAIL ROOST DR, MIAMI, FL 33157(305) 256-3056 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Jun 17, 2025, Apr 15, 2024 (3 updates tracked since 2024).

About Joan Fernandez De La Vega NPPES

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

JOAN FERNANDEZ DE LA VEGA (NPI 1083468169) is an individual general practice provider in Miami, Florida, licensed in Florida (ACN1742) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083468169
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOAN FERNANDEZ DE LA VEGA
Location Address11510 QUAIL ROOST DRMiami, FL 33157-6548
Mailing Address11510 Quail Roost DrMiami, FL 33157-6548 · (305) 256-3056
Phone(305) 256-3056
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 15, 2024
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1083468169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1742
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11510 QUAIL ROOST DR, Miami, FL 33157
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Secondary Practice Location 1

Location 11600 NE Miami Gardens DrMiami, FL 33179-4900 · Phone (786) 248-5374

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joan Fernandez De La Vega is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224537709
PECOS Enrollment IDI20250820002112
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GISNY D MARTIN LOPEZ ARNP
Nurse Practitioner (Family)
11510 QUAIL ROOST DR
MIAMI, FL 33157
Miami-Dade County (305) 256-3056
PASTEUR & WELLMAX MEDICAL CENTERS LLC
Clinic/Center
11510 QUAIL ROOST DR
MIAMI, FL 33157
Miami-Dade County (305) 256-3056
SOUTH FLORIDA VISION SERVICES, INC.
Optometrist
11510 QUAIL ROOST DR
CUTLER RIDGE, FL 33157
Miami-Dade County (305) 256-3056
CHRISTINA KERDEL DON PA-C
Physician Assistant
11510 QUAIL ROOST DR
MIAMI, FL 33157
Miami-Dade County (305) 256-3056
PROF. YAMILET PERERA DELGADO ARNP
Nurse Practitioner (Family)
11510 QUAIL ROOST DR
MIAMI, FL 33157
Miami-Dade County (305) 256-3056

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 Joan Fernandez De La Vega's NPI number?

The NPI number for Joan Fernandez De La Vega is 1083468169. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Joan Fernandez De La Vega located?

Joan Fernandez De La Vega practices at 11510 Quail Roost Dr, Miami, FL 33157. The listed phone number is (305) 256-3056.

What is Joan Fernandez De La Vega's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Joan Fernandez De La Vega enrolled in Medicare?

Yes. Joan Fernandez De La Vega is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joan Fernandez De La Vega was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.