Organization Active NPI

Carolina Medical Center Inc

Doing business as Vida Medical Centers of Miramar

  • Multi-Specialty Clinic/Center
  • Miramar, FL
National Provider Identifier
1164121612
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CAROLINA MEDICAL CENTER INC
Doing business as
Vida Medical Centers of Miramar
Practice address
3206 S University Dr
Miramar, FL 33025-3007
Phone
(954) 308-2361
Fax
(954) 308-2362
NPI assigned
Feb 23, 2023
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Sandy Lopez
Title
President
Phone
(305) 269-7887

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

3206 S University Dr
Miramar, FL 33025-3007

Mailing address

14901 NW 79 CT
2ND Floor
Miami Lakes, FL 33016-5856
Phone (305) 269-7887

Other names 1

  • Vida Medical Centers of Miramar Doing business as

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
10D2340240Carolina Medical Center Inc Dba3206 S University Drive, Miramar, FL 33025Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

2550 NW 100th Ave
Fl 2
Doral, FL 33172
Phone (305) 269-7887

3206 S University Dr
Miramar, FL 33025
Phone (305) 269-7887

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1164121612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 NW 79 CT",
            "address_2": "2ND FLOOR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165856",
            "telephone_number": "305-269-7887",
            "fax_number": "786-219-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 S UNIVERSITY DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253007",
            "telephone_number": "954-308-2361",
            "fax_number": "954-308-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-269-7887"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Medical Centers of Miramar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.