Vida Physician Network, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIDA PHYSICIAN NETWORK, PLLC

Practice address

414 Navarro St Ste 703
San Antonio, TX 78205-2515

Phone

(210) 224-4811

NPI assigned

Feb 8, 2013

Last updated

Feb 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo I Rocha, MD

Title

President

Phone

(210) 922-5922

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1053650127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST STE 703",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052515",
            "telephone_number": "210-224-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST STE 703",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052515",
            "telephone_number": "210-224-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA PHYSICIAN NETWORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-922-5922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Chiropractic, LLC
• Victory Counseling Solutions, LLC
• Victory Medical Center Landmark, LP
• Victory Medical Center Southcross LP
• Vida Counseling Incorporated
• Vida Recovery LLC
• Yvonne Vidad, RN
• Andrew T Vidal, FNP-C
• Jose Francisco Vidal, MD
• Jose Maria Vidal, M.D.

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.