Bio Vita Medical Center LLC.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BIO VITA MEDICAL CENTER LLC.

Practice address

1490 W 49TH PL
401
Hialeah, FL 33012-3148

Phone

(786) 733-5872

Fax

(786) 733-5872

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Yunior Basulto, OWNRE

Title

President

Phone

(786) 773-5872

Specialties & licenses 1

Addresses

Other names 1

• Bio Vita wellness center Doing business as

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1073055729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "786-733-5872",
            "fax_number": "786-733-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "786-733-5872",
            "fax_number": "786-733-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO VITA MEDICAL CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "BASULTO",
        "authorized_official_first_name": "YUNIOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-773-5872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNRE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bio Vita wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.