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DE LA VEGA MEDICAL CENTER, LLC
NPI 1861907677
Clinic/Center in Hialeah Gardens, FL

Active since December 04, 2017CLIA 10D2144234 · Waiver
11093 NW 138 STREET, SUITE 121, HIALEAH GARDENS, FL 33018(786) 600-4040(786) 953-5174 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2018, Dec 4, 2017 (2 updates tracked since 2017).

About De La Vega Medical Center, Llc NPPES

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

DE LA VEGA MEDICAL CENTER, LLC (NPI 1861907677) is a healthcare organization registered as a clinic/center in Hialeah Gardens, Florida and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Jose R Perez, Manager, as its authorized official.

NPPES Registry Identity

NPI1861907677
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDE LA VEGA MEDICAL CENTER, LLC
Location Address11093 NW 138 STREET, SUITE 121Hialeah Gardens, FL 33018
Mailing Address11093 Nw 138 Street, Suite 121Hialeah Gardens, FL 33018 · Fax (786) 953-5174
Phone(786) 600-4040
Fax(786) 953-5174
Organization SubpartNo
Authorized OfficialJose R PerezManager · (786) 600-4040
Enumeration DateDecember 4, 2017
Last NPPES UpdateAugust 31, 20182 updates tracked since enumeration
✔ NPI 1861907677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
11093 NW 138 STREET, SUITE 121, Hialeah Gardens, FL 33018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Solstice Benefits and more.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 10D2144234

De La Vega Medical Center, LLC · Hialeah Gardens, FL
Active · expires Feb 12, 2028
CLIA Number10D2144234
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorDagobarto De La Vega
Laboratory Phone(786) 600-4040
Laboratory LocationDe La Vega Medical Center, LLC11093 NW 138th St Ste 121, Hialeah Gardens, FL 33018
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 De La Vega Medical Center, LLC's NPI number?

The NPI number for De La Vega Medical Center, LLC is 1861907677. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is De La Vega Medical Center, LLC located?

De La Vega Medical Center, LLC is located at 11093 NW 138 Street, Suite 121, Hialeah Gardens, FL 33018. The listed phone number is (786) 600-4040.

What is De La Vega Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does De La Vega Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2144234) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does De La Vega Medical Center, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits, UnitedHealthcare and Wellpoint list De La Vega Medical Center, LLC 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 Medical Center, LLC was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.