Vidalife Medical Service Center Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VIDALIFE MEDICAL SERVICE CENTER CORP

Practice address

1380 NE Miami Gardens Dr Ste 130
Miami, FL 33179-4744

Phone

(305) 956-7755

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Cesar Bringas

Title

President

Phone

(305) 956-7755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oscar Pino, APRN

  • Family Nurse Practitioner
  • North Miami Beach, FL
  • NPI 1083597231
  Medicare reassignment NPD
• Rosa Maria Avila, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1407518103
  Medicare reassignment
• Julio M. De Pena, M.D., FAAEM, FAWM

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1679776330
  Medicare reassignment
• Vanessa Jimenez Paz, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Miami, FL
  • NPI 1700521671
  Medicare reassignment

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1255907929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794744",
            "telephone_number": "305-956-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794744",
            "telephone_number": "305-956-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDALIFE MEDICAL SERVICE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "BRINGAS",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-956-7755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Angelo Vidal
• Reinaldo Vidal, HSE 8603
• Stella Vidal
• Yanitza Vidal
• Yenma Milagro Vidal
• Vidalux Mind and Wellness Group LLC
• Vidamer Health Inc
• Marcia Vidan, M.D.
• Vidanova Medical Group, LLC
• Melissa Vidaurrazaga

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.