Vivamas Medical Center - Kendall, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VIVAMAS MEDICAL CENTER - KENDALL, LLC

Practice address

8601 SW 124TH Ave
Miami, FL 33183-4601

Phone

(305) 972-4382

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Shutzen

Title

President

Phone

(786) 584-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1194474304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 BLUE LAGOON DR STE 450",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262591",
            "telephone_number": "786-584-4600",
            "fax_number": "833-778-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SW 124TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834601",
            "telephone_number": "305-972-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVAMAS MEDICAL CENTER - KENDALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SHUTZEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-584-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viva Therapy Services
• Vivacare Transportation LLC
• Vivacore Physical Therapy, LLC
• Giselle Vivaldi, M.D.
• Vivalife, Inc.
• Edilia M Vivanco, M.D.
• Judith Vivanco, RBT-24-3227486
• Lellany Vivanco, SLP
• Madiana Vivar
• Claudia S Vivas-Fons

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.