Active NPI
Vitality Medical Center LLC
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1104407063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- VITALITY MEDICAL CENTER LLC
- Practice address
- 9370 SW 72ND St Ste A280
Miami, FL 33173-5465 - Phone
- (786) 523-8464
- NPI assigned
- Apr 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose C Aneiros
- Title
- President
- Phone
- (786) 523-8464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9370 SW 72ND St Ste A280
Miami, FL 33173-5465
Mailing address
9370 SW 72ND St Ste A280
Miami, FL 33173-5465
Phone (786) 523-8464
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618876800000",
"number": "1104407063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9370 SW 72ND ST STE A280",
"city": "MIAMI",
"state": "FL",
"postal_code": "331735465",
"telephone_number": "786-523-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9370 SW 72ND ST STE A280",
"city": "MIAMI",
"state": "FL",
"postal_code": "331735465",
"telephone_number": "786-523-8464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALITY MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-20",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A",
"authorized_official_last_name": "ANEIROS",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-523-8464"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.