VIDA MEDICAL GROUP PA
NPI 1245743889
Nurse Practitioner - Family in Homestead, FL

Active since November 06, 2017CLIA 10D2141813 · Waiver
26847 S DIXIE HWY, HOMESTEAD, FL 33032(305) 258-9352(786) 404-3604 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Nov 6, 2017 (2 updates tracked since 2017).

About Vida Medical Group Pa NPPES

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

VIDA MEDICAL GROUP PA (NPI 1245743889) is a healthcare organization registered as a family in Homestead, Florida and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Dagoberto Marquez, Owner, as its authorized official.

NPPES Registry Identity

NPI1245743889
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVIDA MEDICAL GROUP PA
Location Address26847 S DIXIE HWYHomestead, FL 33032-7524
Mailing Address26847 S Dixie HwyHomestead, FL 33032-7524 · (305) 258-9352 · Fax (786) 404-3604
Fax(786) 404-3604
Organization SubpartNo
Authorized OfficialDagoberto MarquezOwner · (786) 586-7645
Enumeration DateNovember 6, 2017
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1245743889 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
26847 S DIXIE HWY, Homestead, FL 33032

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

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 10D2141813

Vida Medical Group PA · Homestead, FL
Active · expires Dec 20, 2027
CLIA Number10D2141813
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorDagaberto Marquez
Laboratory Phone(305) 258-9352
Laboratory LocationVida Medical Group PA26847 South Dixie Hwy, Homestead, FL 33032
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

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

Nurse Practitioner (Primary Care)
26847 S DIXIE HWY
HOMESTEAD, FL 33032

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 Vida Medical Group PA's NPI number?

The NPI number for Vida Medical Group PA is 1245743889. It was assigned to this organization in the NPPES registry on November 6, 2017.

Where is Vida Medical Group PA located?

Vida Medical Group PA is located at 26847 S Dixie Hwy, Homestead, FL 33032. The listed phone number is (305) 258-9352.

What is Vida Medical Group PA's specialty?

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

Does Vida Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2141813) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vida Medical Group PA accept?

Health plans from Moda Health Plan, Inc. list Vida Medical Group PA 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 Vida Medical Group PA was last updated on May 16, 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.