D De La Vega Md P A

LBN: D De La Vega Md P A
D De La Vega Md P A is an health care organization with primary practice located at 11093 Nw 138Th St Unit 112 , Hialeah Gardens FL 33018-1190. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. D De La Vega Md P A can be contacted via phone (305) 552-0303, or through De La Vega, Dagoberto via phone (305) 298-9100.

Contact Information

Primary practice address
11093 Nw 138Th St Unit 112 Hialeah Gardens FL 33018-1190
Phone: (305) 552-0303
Fax: (305) 554-0709
Website:
Map and Directions
Authorized official contact:
Name: De La Vega, Dagoberto Doctor of Medicine (MD)
Phone: (305) 298-9100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME67856 Florida

Profile Details

NPI number 1063464527
LBN Legal business name D De La Vega Md P A
DBA Doing business as
Authorized official De La Vega, Dagoberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Feb 19th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063464527 NPPES
Florida MEDICAID 377494501
Florida Other 26980

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