VITACARE MEDICAL GROUP, LLC.
NPI 1700730462
Clinic/Center - Primary Care in Miami, FL
About Vitacare Medical Group, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITACARE MEDICAL GROUP, LLC. (NPI 1700730462) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Imayacil Marzo Hernandez, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitacare Medical Group, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vitacare Medical Group, LLC., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2343178
Vitacare Medical Group, LLC · Miami, FLFrequently 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 Vitacare Medical Group, LLC.'s NPI number?
The NPI number for Vitacare Medical Group, LLC. is 1700730462. It was assigned to this organization in the NPPES registry on February 20, 2026.
Where is Vitacare Medical Group, LLC. located?
Vitacare Medical Group, LLC. is located at 10453 SW 40th St, Miami, FL 33165. The listed phone number is (786) 684-6845.
What is Vitacare Medical Group, LLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vitacare Medical Group, LLC. enrolled in Medicare?
Yes. Vitacare Medical Group, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitacare Medical Group, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitacare Medical Group, LLC.. 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 Vitacare Medical Group, LLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2343178) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vitacare Medical Group, LLC. was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Vitacare Medical Group, Llc. · NPI 1700730462
Primary Care organization in Miami, Florida. Organization record, active in the CMS NPPES registry since February 20, 2026.
## Identity
- **NPI:** 1700730462 (Entity type: Organization)
- **Enumerated:** February 20, 2026
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Imayacil Marzo Hernandez, ADMINISTRATOR
## Practice location
- **Address:** 10453 SW 40TH ST, Miami, FL 33165-3753
- **Phone:** (786) 684-6845
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1700730462) · Data from the CMS NPPES public registry.