VITALCARE FAMILY MEDICINE AND ANTI-AGING CLINIC, LLC
NPI 1881582963
Clinic/Center - Primary Care in Hialeah, FL

Active since June 26, 2025
5941 NW 173RD DR UNIT B-4, HIALEAH, FL 33015(954) 544-6411(954) 838-5412 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Jun 26, 2025 (2 updates tracked since 2025).

About Vitalcare Family Medicine And Anti-aging Clinic, Llc NPPES

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

VITALCARE FAMILY MEDICINE AND ANTI-AGING CLINIC, LLC (NPI 1881582963), doing business as Vitalcare Family Medicine And Anti-aging Clinic, is a healthcare organization registered as a primary care in Hialeah, Florida and active in the NPI registry since June 2025. The organization lists Roberto Lazaro Rodriguez Baez, President, as its authorized official.

NPPES Registry Identity

NPI1881582963
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVITALCARE FAMILY MEDICINE AND ANTI-AGING CLINIC, LLC
Location Address5941 NW 173RD DR UNIT B-4Hialeah, FL 33015-5109
Mailing Address5941 Nw 173rd Dr Unit B-4Hialeah, FL 33015-5109 · (954) 544-6411 · Fax (954) 838-5412
Fax(954) 838-5412
Organization SubpartNo
Authorized OfficialRoberto Lazaro Rodriguez BaezPresident · (407) 405-5565
Enumeration DateJune 26, 2025
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1881582963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5941 NW 173RD DR UNIT B-4, Hialeah, FL 33015

Other Names 1

Doing Business AsVitalcare Family Medicine And Anti-aging Clinic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitalcare Family Medicine And Anti-aging Clinic, 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 Vitalcare Family Medicine And Anti-Aging Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1588430771
5941 NW 173RD DR UNIT B-4
Hialeah, FL 33015
(954) 544-6411
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vitalcare Family Medicine And Anti-Aging Clinic, LLC's NPI number?

The NPI number for Vitalcare Family Medicine And Anti-Aging Clinic, LLC is 1881582963. It was assigned to this organization in the NPPES registry on June 26, 2025. The provider is doing business as VitalCare Family Medicine and Anti-Aging Clinic.

Where is Vitalcare Family Medicine And Anti-Aging Clinic, LLC located?

Vitalcare Family Medicine And Anti-Aging Clinic, LLC is located at 5941 NW 173rd Dr Unit B-4, Hialeah, FL 33015. The listed phone number is (954) 544-6411.

What is Vitalcare Family Medicine And Anti-Aging Clinic, LLC's specialty?

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

Is Vitalcare Family Medicine And Anti-Aging Clinic, LLC enrolled in Medicare?

Yes. Vitalcare Family Medicine And Anti-Aging Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalcare Family Medicine And Anti-Aging Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitalcare Family Medicine And Anti-Aging Clinic, 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.

When was this NPI record last updated?

The NPPES record for Vitalcare Family Medicine And Anti-Aging Clinic, LLC was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.