De La Vega Pediatrics, Corp.
NPI 1790066983 · General Practice Physician · Fort Myers, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
De La Vega Pediatrics, Corp. is a General Practice Physician organization in Fort Myers, FL (NPI 1790066983).
Provider details
- NPI number
- 1790066983
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tatiana De La Vega, Office Manager(239) 277-5877
- License
- ME101292 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2011-09-01
- Last updated
- 2023-03-25
- Certified
- 2023-03-25
Frequently asked questions
- What is De La Vega Pediatrics, Corp.'s NPI number?
- De La Vega Pediatrics, Corp.'s National Provider Identifier (NPI) is 1790066983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is De La Vega Pediatrics, Corp.?
- De La Vega Pediatrics, Corp. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is De La Vega Pediatrics, Corp. located?
- De La Vega Pediatrics, Corp.'s practice location on file with NPPES is 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-4078.
- What is De La Vega Pediatrics, Corp.'s phone number?
- The practice phone number listed in the NPPES registry for De La Vega Pediatrics, Corp. is (239) 277-5877.
- Does De La Vega Pediatrics, Corp. accept Medicare?
- De La Vega Pediatrics, Corp. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for De La Vega Pediatrics, Corp.?
- The authorized official listed on De La Vega Pediatrics, Corp.'s NPPES record is Tatiana De La Vega, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is De La Vega Pediatrics, Corp.'s NPI active?
- Yes — De La Vega Pediatrics, Corp.'s NPI (1790066983) is active in the NPPES registry as of the last update on 2023-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.