NPIMap

Organization Active NPI

VMFL Medical Centers LLC

Doing business as VivaMas Medical Center Hialeah

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1063122547
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VMFL MEDICAL CENTERS LLC
Doing business as
VivaMas Medical Center Hialeah
Practice address
1565 W 29TH St
Hialeah, FL 33012-5516
Phone
(305) 537-4110
Fax
(305) 675-2860
NPI assigned
Nov 25, 2022
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VMFL MEDICAL CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Mr. Dean Serure
Title
President
Phone
(786) 894-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1565 W 29TH St
Hialeah, FL 33012-5516

Mailing address

9000 NW 15TH St Unit 6
Doral, FL 33172-2990
Phone (786) 894-6358

Other names 1

  • VivaMas Medical Center Hialeah Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230308001945 FL Part B Supplier - Clinic/Group Practice 6103299326 Receives reassigned benefits from 32 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pembroke Pines, FL; Miami, FL; Hialeah, FL; Homestead, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2277313VMFL Medical Centers LLC1565 W 29TH St, Hialeah, FL 33012Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
VMFL Medical Centers5 organizations share this tax ID, including this one
Part of
VMFL Medical Centers

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1440 NE 8th St
Homestead, FL 33033
Phone (305) 289-8272

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1063122547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW 15TH ST UNIT 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722990",
            "telephone_number": "786-894-6358",
            "fax_number": "833-778-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125516",
            "telephone_number": "305-537-4110",
            "fax_number": "305-675-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMFL MEDICAL CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VMFL MEDICAL CENTERS LLC",
        "enumeration_date": "2022-11-25",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SERURE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-894-6358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VivaMas Medical Center Hialeah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VivaMas Medical Center Hialeah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.