Vida Community Health Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VIDA COMMUNITY HEALTH CLINIC

Practice address

8200 NW 41St St
Doral, FL 33166-6205

Phone

(786) 209-3340

Fax

(786) 204-0692

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Delicio, LMHC

Title

Owner

Phone

(786) 209-3340

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1205416856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666205",
            "telephone_number": "786-209-3340",
            "fax_number": "786-204-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666205",
            "telephone_number": "786-209-3340",
            "fax_number": "786-204-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "DELICIO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-209-3340",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101151900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verzon Medical Center Inc
• Gerry Victor
• Victoria Alliegro, Ms, Otr/L PA
• Victoria Fierro MD PA
• Vivian Victoria, PHARMD
• Vida Health Solutions LLC
• Vida Medical Care LLC
• Jose Alberto Vidal Garcia
• Cristevy M. Vidal Gomez, IBCLC
• Leticia Vidal Reyes, CBHCM

• Community/Behavioral Health Agency in Doral, FL
• Providers in Doral, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.