| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DE LA VEGA MEDICAL GROUP CORPORATION | 1538870696 | 2023-02-11 |
The organization De La Vega Medical Group Corporation is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1538870696. Registration indicates De La Vega Medical Group Corporation is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Health Service, ) (Clinic/Center Health Service, Ambulatory Health Care Facilities) (Clinic/Center, ) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Code | Practice | License No State |
|---|---|---|
| 261QH0100X | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Health Service Clinic/Center Health Service Ambulatory Health Care Facilities Clinic/Center | |
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | |
| 193200000X MULT | Group Code |