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MEDIVITAL HEALTH CENTER LLC
NPI 1528855343
Clinic/Center - Primary Care in Hialeah, FL

Active since April 23, 2025CLIA 10D2335963 · Waiver
10550 NW 77TH CT STE 305, HIALEAH, FL 33016(786) 782-7738(833) 523-2326 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medivital Health Center Llc NPPES

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

MEDIVITAL HEALTH CENTER LLC (NPI 1528855343) is a healthcare organization registered as a primary care in Hialeah, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Adriana Baez, Owner, as its authorized official.

NPPES Registry Identity

NPI1528855343
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEDIVITAL HEALTH CENTER LLC
Location Address10550 NW 77TH CT STE 305Hialeah, FL 33016-2071
Mailing Address10540 Nw 78th St Apt 424Doral, FL 33178-6089 · (305) 764-9170 · Fax (833) 523-2326
Phone(786) 782-7738
Fax(833) 523-2326
Organization SubpartNo
Authorized OfficialAdriana BaezOwner · (305) 764-9170
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1528855343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
10550 NW 77TH CT STE 305, Hialeah, FL 33016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medivital Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Medivital Health Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Linnet Valle, DPT
Physical Therapist in Private Practice
NPI 1730426750
760 NW 107TH AVE STE 400
Miami, FL 33172
(305) 851-7387
7.0 mi
Manuel De La Cruz Seoane
Internal Medicine
NPI 1427636380
7031 SW 62ND AVE # 2847761
South Miami, FL 33143
(305) 284-7761
✔ PECOS✔ Accepts Medicare11 mi

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 Waiver 10D2335963

Medivital Health Center LLC · Hialeah Gardens, FL
Active · expires Dec 21, 2027
CLIA Number10D2335963
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorManuel De La Cruz
Laboratory Phone(786) 782-7738
Laboratory LocationMedivital Health Center LLC10550 NW 77th Court, Suite 305, Hialeah Gardens, FL 33016
CLIA data matches this NPI record on: 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 Medivital Health Center LLC's NPI number?

The NPI number for Medivital Health Center LLC is 1528855343. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Medivital Health Center LLC located?

Medivital Health Center LLC is located at 10550 NW 77th Ct Ste 305, Hialeah, FL 33016. The listed phone number is (786) 782-7738.

What is Medivital Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Medivital Health Center LLC enrolled in Medicare?

Yes. Medivital Health Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medivital Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Medivital Health Center LLC, in Internal Medicine and Physical Therapist in Private Practice. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medivital Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2335963) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medivital Health Center LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.