Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joan Fernandez de la Vega

Individual provider General Practice Physician · NPI 1083468169

Joan Fernandez de la Vega is a General Practice in Miami, Florida. Qualified in 2009, 17 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

11510 Quail Roost Dr
Miami, FL 33157-6548
Phone: (305) 256-3056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Ne Miami Gardens Dr, Miami, FL 33179-4900 — (786) 248-5374

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1742 (FL)

Record details

NPI number1083468169
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2024
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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