DAGOBERTO DE LA VEGA (NPI# 1114979671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114979671 |
| Entity Type | Individual |
| Full Name | DAGOBERTO DE LA VEGA |
| Credential | MD |
| Practice Address |
3200 Sw 128th Ave Miami FL 33175-2504 |
| Practice Telephone | 3052989100 |
| Practice Fax Number | 3052740692 |
| Mailing Telephone | 3052989100 |
| Mailing Fax Number | 3052740692 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME67856 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 377494501 | 05 |
| Street Address |
3200 SW 128TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341014 | De La Vega Transportation Inc | Transportation Broker | 3200 Sw 128th Ave, Miami, FL 33175-2504 | 2019-05-13 |
| 1760827000 | North American Medical Group LLC | Internal Medicine | 3200 Sw 128th Ave, Miami, FL 33175-2504 | 2013-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756297 | Floridian Physicians | Internal Medicine | 4960 Sw 72nd Ave Ste 206, Miami, FL 33155-5549 | 2020-06-25 |
| 1437773918 | Elite Med Center Corp | Internal Medicine | 13155 Sw 134th St Ste 221, Miami, FL 33186-4489 | 2020-06-01 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1538714282 | Centrum Medical Holdings, LLC | Internal Medicine | 7600 Nw 19th St Ste 400, Miami, FL 33126-1219 | 2019-08-08 |
| 1659933182 | South Florida Healthcare Practitioners | Internal Medicine | 1040 Biscayne Blvd Apt 1506, Miami, FL 33132-1725 | 2019-07-04 |
| 1134781263 | Surgiclear | Internal Medicine | 1011 Ives Dairy Rd Ste 107, Miami, FL 33179-2536 | 2019-06-28 |
| 1811557523 | Luis Rene Velazquez | Internal Medicine | 8520 Sw 149th Ave Apt 1015, Miami, FL 33193-1446 | 2019-06-14 |
| 1881252088 | Miguel A Mujica-baella Md Pa | Internal Medicine | 15590 Sw 42nd Ln, Miami, FL 33185-4209 | 2019-06-03 |
| 1699249177 | Munia and Associates LLC | Internal Medicine | 9195 Sw 72nd St Ste 210, Miami, FL 33173-3488 | 2019-01-17 |
| 1174094361 | I.vizion | Internal Medicine | 7341 Nw 32nd Ave, Miami, FL 33147-5801 | 2018-12-16 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.