De la Vega Pediatrics, Corp.
NPI 1790066983ActiveOrganization· General Practice· Fort Myers, FL
General Practice in Fort Myers, Florida, registered in NPPES in September 2011. The authorized official on file is Tatiana De La Vega, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790066983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2011 |
| Last updated in NPPES | Mar 25, 2023 |
| Certified by provider | Mar 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ME101292 | FL |
| Pediatrics | 208000000X | ME101292 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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