JOAN FERNANDEZ DE LA VEGA
NPI 1083468169
General Practice in Miami, FL
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 and maintains a secondary practice location in Miami.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joan Fernandez De La Vega is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joan Fernandez De La Vega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33157
- Reassigned Medicare billing, Florida enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Joan Fernandez De La Vega's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joan Fernandez De La Vega reassigns Medicare benefits to Pasteur & Wellmax Medical Centers LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joan Fernandez De La Vega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 14 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.
# Joan Fernandez De La Vega · NPI 1083468169
General Practice physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since April 15, 2024.
## Identity
- **NPI:** 1083468169 (Entity type: Individual)
- **Enumerated:** April 15, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** ACN1742 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11510 QUAIL ROOST DR, Miami, FL 33157-6548
- **Phone:** (305) 256-3056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pasteur & Wellmax Medical Centers LLC (NPI 1346060522, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083468169) · Data from the CMS NPPES public registry.