Vida Vital LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

HCC7020 Issued in FL

Legal business name

VIDA VITAL LLC

Practice address

1490 W 68TH St
201
Hialeah, FL 33014-4590

Phone

(786) 256-9747

NPI assigned

Jul 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yailen Bengochea

Title

President

Phone

(786) 256-9747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• vida medical services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003845942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 68TH ST",
            "address_2": "201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144590",
            "telephone_number": "786-256-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 68TH ST",
            "address_2": "201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144590",
            "telephone_number": "786-256-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA VITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENGOCHEA",
        "authorized_official_first_name": "YAILEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-256-9747"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "HCC7020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH DEPT LICENSE",
            "identifier": "HCC7020",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vida medical services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vida Medical Research Inc
• Vida Medical Services Inc
• Vida Pharmacy Corp
• Vida Saude Telehealth LLC
• Vida Therapy Centers
• Vidal Health Solution Inc
• Dachely Vidal Leyva
• Monica Vidal Munoz
• Teresa Vidal Perez
• Vidal Services Inc

• Legal Medicine in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.