MDC VITACARE LLC - NPI 1174464705 - General Practice in Miami, FL

Q: What is Mdc Vitacare LLC's NPI number?

The NPI number for Mdc Vitacare LLC is 1174464705. It was assigned to this organization in the NPPES registry on April 6, 2026.

Q: What is Mdc Vitacare LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mdc Vitacare LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Mdc Vitacare Llc NPPES

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

MDC VITACARE LLC (NPI 1174464705) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Maby De La Caridad Gonzalez Prieto, Owner, as its authorized official.

NPPES Registry Identity

NPI1174464705

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMDC VITACARE LLC

Location Address9930 SW 40TH STMiami, FL 33165-3944

Mailing Address9930 Sw 40th StMiami, FL 33165-3944 · (786) 558-4449 · Fax (786) 936-6655

Phone(786) 558-4449

Fax(786) 936-6655

Organization SubpartNo

Authorized OfficialMaby De La Caridad Gonzalez PrietoOwner · (786) 558-4449

Enumeration DateApril 6, 2026

NPPES CertifiedApril 6, 2026

✔ NPI 1174464705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

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

9930 SW 40TH ST, Miami, FL 33165

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2342599

Mdc Vitacare LLC · Miami, FL

Active · expires Apr 21, 2028

CLIA Number10D2342599

Laboratory TypePhysician Office

Certificate Effective DateApril 22, 2026

Certificate Expiration DateApril 21, 2028

Laboratory DirectorMaby De La Caridad Gonzalez Prieto

Laboratory Phone(786) 558-4449

Laboratory LocationMdc Vitacare LLC9930 SW 40th St, Miami, FL 33165

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

PHYSICIANS MEDICAL ASSURANCE

Family Medicine (Adult Medicine)