PORTOFINO PEDIATRICS
NPI 1194944611
Pediatrics in Homestead, FL

Active since April 24, 2007CLIA 10D2020599 · Accreditation
925 NE 30TH TER, SUITE #202, HOMESTEAD, FL 33033(305) 246-1030(305) 246-2387 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Portofino Pediatrics NPPES

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

PORTOFINO PEDIATRICS (NPI 1194944611) is a healthcare organization registered as a pediatrics in Homestead, Florida and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through January 21, 2028 and lists Nivia E. Vazquez, President, as its authorized official.

NPPES Registry Identity

NPI1194944611
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNIVIA E. VAZQUEZ, M.D.,P.A.
Location Address925 NE 30TH TER, SUITE #202Homestead, FL 33033-7613
Mailing Address925 Ne 30th Ter Ste 202Homestead, FL 33033-7614 · (305) 246-1030 · Fax (305) 246-2387
Fax(305) 246-2387
Organization SubpartNo
Authorized OfficialNivia E. VazquezPresident · (305) 246-1030
Enumeration DateApril 24, 2007
Last NPPES UpdateApril 25, 2023
NPPES CertifiedFebruary 4, 2022
✔ NPI 1194944611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
925 NE 30TH TER, Homestead, FL 33033

Other Names 1

Doing Business AsPortofino Pediatrics

Other Identifiers 1

Medicaid266494100FL

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portofino Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110708000179Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Portofino Pediatrics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1063453124
925 NE 30TH TER, STE 202
Homestead, FL 33033
(305) 246-1030
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 10D2020599

Portofino Pediatrics · Homestead, FL
Active · expires Jan 21, 2028
CLIA Number10D2020599
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorNivia Vazquez
Laboratory Phone(305) 246-1030
Laboratory LocationPortofino Pediatrics925 NE 30th Terr Suite 202, Homestead, FL 33033
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Nivia E. Vazquez, M.D.,p.A.'s NPI number?

The NPI number for Nivia E. Vazquez, M.D.,p.A. is 1194944611. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Portofino Pediatrics.

Where is Nivia E. Vazquez, M.D.,p.A. located?

Nivia E. Vazquez, M.D.,p.A. is located at 925 NE 30th Ter Suite #202, Homestead, FL 33033. The listed phone number is (305) 246-1030.

What is Nivia E. Vazquez, M.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nivia E. Vazquez, M.D.,p.A. enrolled in Medicare?

Yes. Nivia E. Vazquez, M.D.,p.A. is registered in the Medicare PECOS enrollment system.

When is Nivia E. Vazquez, M.D.,p.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nivia E. Vazquez, M.D.,p.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Nivia E. Vazquez, M.D.,p.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nivia E. Vazquez, M.D.,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2020599) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nivia E. Vazquez, M.D.,p.A. accept?

Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Wellpoint list Nivia E. Vazquez, M.D.,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 Nivia E. Vazquez, M.D.,p.A. was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.