Buena Vida Wellness Center, Corp

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BUENA VIDA WELLNESS CENTER, CORP

Practice address

12769 SW 42ND St Ste 28-32
Miami, FL 33175-3429

Phone

(305) 576-9999

Fax

(305) 722-3586

NPI assigned

Sep 11, 2021

Last updated

May 11, 2022By 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

Marcos Diaz, RN

Title

President

Phone

(305) 335-3638

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1275202392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12769 SW 42ND ST STE 28-32",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753429",
            "telephone_number": "305-576-9999",
            "fax_number": "305-722-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12769 SW 42ND ST STE 28-32",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753429",
            "telephone_number": "305-576-9999",
            "fax_number": "305-722-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA WELLNESS CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-335-3638",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Budreau-Roman, PSY.D.
• Seidette Monique Budyszewick, ND4684 RD/LD
• Matias Gabriel Buedo, MD
• Dayana Buelga Carlos
• Manuel S Buelga Garcia
• Buena Vista Assisted Living Facility
• Buena Vista Medical Services Inc
• Buena Vista Vision Club, Inc
• Buenaventura Comunity Mental Health Inc (Buenaventura CMH Inc)
• Buenaventura Medical Center Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.