Organization Active NPI

Vida Medical Services Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1073937744
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC10022 Issued in FL
Legal business name
VIDA MEDICAL SERVICES INC
Practice address
4910 E 2ND Ave
Hialeah, FL 33013-1410
Phone
(786) 615-8113
Fax
(786) 953-7437
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Ana Tapia
Title
President
Phone
(786) 615-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC10022 FL Primary

Addresses

Primary practice location

4910 E 2ND Ave
Hialeah, FL 33013-1410

Mailing address

4910 E 2ND Ave
Hialeah, FL 33013-1410
Phone (786) 615-8113

Other identifiers 1

IdentifierTypeStateIssuer
FILE 10628OtherFLAHCA HCC UNIT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1073937744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131410",
            "telephone_number": "786-615-8113",
            "fax_number": "786-953-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131410",
            "telephone_number": "786-615-8113",
            "fax_number": "786-953-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-615-8113"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HCC UNIT",
            "identifier": "FILE 10628",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2014; 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.