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DE LA VEGA PEDIATRICS, CORP.
NPI 1790066983
General Practice in Fort Myers, FL

Active since September 01, 2011CLIA 10D2012851 · Waiver
12781 WORLD PLAZA LN STE 1, FORT MYERS, FL 33907(239) 277-5877(239) 277-1354 Get Directions Write a Review

NPPES record last updated: March 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2023, May 15, 2019, Apr 24, 2019 and 1 more (4 updates tracked since 2018).

About De La Vega Pediatrics, Corp. NPPES

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

DE LA VEGA PEDIATRICS, CORP. (NPI 1790066983) is a healthcare organization registered as a general practice in Fort Myers, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Tatiana De La Vega, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790066983
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDE LA VEGA PEDIATRICS, CORP.
Location Address12781 WORLD PLAZA LN STE 1Fort Myers, FL 33907-4078
Mailing Address12781 World Plaza Ln Ste 1Fort Myers, FL 33907-4078 · (239) 277-5877 · Fax (239) 277-1354
Phone(239) 277-5877
Fax(239) 277-1354
Organization SubpartNo
Authorized OfficialTatiana De La VegaOffice Manager · (239) 277-5877
Enumeration DateSeptember 1, 2011
Last NPPES UpdateMarch 25, 20234 updates tracked since enumeration
NPPES CertifiedMarch 25, 2023
✔ NPI 1790066983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME101292
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License ME101292 (FL)
12781 WORLD PLAZA LN STE 1, Fort Myers, FL 33907
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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 10D2012851

De La Vega Pediatrics · Fort Myers, FL
Active · expires Sep 8, 2026
CLIA Number10D2012851
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorArnaldo De La Vega
Laboratory Phone(239) 277-5877
Laboratory LocationDe La Vega Pediatrics12781 World Plaza Lane - Ste 1, Fort Myers, FL 33907
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 3

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

ARNALDO DE LA VEGA M.D.
General Practice
12781 WORLD PLAZA LN STE 1
FORT MYERS, FL 33907
Lee County (239) 277-5877
JANE LIZ DE LA VEGA FNP
Nurse Practitioner (Family)
12781 WORLD PLAZA LN STE 1
FORT MYERS, FL 33907
Lee County (239) 848-9026
MR. RICHARD W HALEY M.A.
Marriage & Family Therapist
12781 WORLD PLAZA LN STE 1
FORT MYERS, FL 33907
Lee County (239) 939-3700

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 De La Vega Pediatrics, Corp.'s NPI number?

The NPI number for De La Vega Pediatrics, Corp. is 1790066983. It was assigned to this organization in the NPPES registry on September 1, 2011.

Where is De La Vega Pediatrics, Corp. located?

De La Vega Pediatrics, Corp. is located at 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907. The listed phone number is (239) 277-5877.

What is De La Vega Pediatrics, Corp.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does De La Vega Pediatrics, Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2012851) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does De La Vega Pediatrics, Corp. accept?

Health plans from Ambetter Health and Ambetter of Alabama list De La Vega Pediatrics, Corp. 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 De La Vega Pediatrics, Corp. was last updated on March 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.