1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Nurse Practitioner
  6. NPI Profile

CLINICA VITAL CARE LLC
NPI 1154058337
Nurse Practitioner - Family in Houston, TX

Active since August 06, 2022CLIA 45D2302458 · Waiver
12033 VETERANS MEMORIAL DR, HOUSTON, TX 77067(832) 705-8585(832) 705-8586 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinica Vital Care Llc NPPES

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

CLINICA VITAL CARE LLC (NPI 1154058337) is a healthcare organization registered as a family in Houston, Texas and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 9, 2028, maintains a secondary practice location in Sugar Land, and lists Maylin Diaz Lopez, Medical Provider, as its authorized official.

NPPES Registry Identity

NPI1154058337
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCLINICA VITAL CARE LLC
Location Address12033 VETERANS MEMORIAL DRHouston, TX 77067-1055
Mailing Address12033 Veterans Memorial DrHouston, TX 77067-1055 · (832) 705-8585 · Fax (832) 705-8586
Phone(832) 705-8585
Fax(832) 705-8586
Organization SubpartNo
Authorized OfficialMaylin Diaz LopezMedical Provider · (832) 705-8586
Enumeration DateAugust 6, 2022
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1154058337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
12033 VETERANS MEMORIAL DR, Houston, TX 77067
Open in Google Maps ↗

Other Names 1

Doing Business AsClinica Vital Care Llc

Secondary Practice Location 1

Location 110581 S Highway 6 Ste 103Sugar Land, TX 77498-4907 · Phone (346) 350-5400 · Fax (346) 350-5391

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 Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 45D2302458

Clinica Vital Care 2 · Houston, TX
Active · expires Apr 9, 2028
CLIA Number45D2302458
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorMaylin Diaz Lopez
Laboratory Phone(346) 350-5400
Laboratory LocationClinica Vital Care 28511 N Houston Rosslyn Rd, Suite 220, Houston, TX 77088
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2266501

Clinica Vital Care · Houston, TX
Expired · Aug 10, 2026
CLIA Number45D2266501
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorMaylin Diaz Lopez
Laboratory Phone(832) 705-8585
Laboratory LocationClinica Vital Care12033 Veterans Memorial Dr Unit 109, Houston, TX 77067
CLIA data matches this NPI record on: Address 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 Clinica Vital Care LLC's NPI number?

The NPI number for Clinica Vital Care LLC is 1154058337. It was assigned to this organization in the NPPES registry on August 6, 2022.

Where is Clinica Vital Care LLC located?

Clinica Vital Care LLC is located at 12033 Veterans Memorial Dr, Houston, TX 77067. The listed phone number is (832) 705-8585.

What is Clinica Vital Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Clinica Vital Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2302458) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica Vital Care LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Clinica Vital Care LLC 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 Clinica Vital Care LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.