OrganizationActive
Vitacare Medical Group, LLC.
NPI 1700730462 · Primary Care Clinic/Center · Miami, FL
Provider details
- NPI number
- 1700730462
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Imayacil Marzo Hernandez, Administrator(786) 684-6845
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10453 Sw 40th St
Miami, FL 33165-3753
Phone: (786) 684-6845
Street-level locationGet directions
Mailing address
10453 Sw 40th St
Miami, FL 33165-3753
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.