Pure Life Medical Group , Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MA67461 Issued in FL

Legal business name

PURE LIFE MEDICAL GROUP , INC

Practice address

85 Grand Canal Dr
Suite 104
Miami, FL 33144-2561

Phone

(305) 262-0298

Fax

(305) 262-1253

NPI assigned

Sep 18, 2013

Last updated

Sep 18, 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

Miss Barbara Gonzalez, MA

Title

President

Phone

(305) 262-0298

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1154757466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442561",
            "telephone_number": "305-262-0298",
            "fax_number": "305-262-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442561",
            "telephone_number": "305-262-0298",
            "fax_number": "305-262-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE MEDICAL GROUP , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-0298",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MA67461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pura Vida Home Care LLC
• Pura Vida Medical Supplies Inc
• Rhian Purdy, M.D.
• Pure Executive Health & Wellness, LLC
• Pure Life Group Services,Corp.
• Pure Mental Health, PLLC
• Diana Noemi Pure, PHD
• Odalys Puri, MA
• Purity Healthcare LLC
• Purity Medical Center

• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.