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
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, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
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 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.
# 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
## Record status
- **NPPES last updated:** May 7, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700730462) · Data from the CMS NPPES public registry.