Vida Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME66588 Issued in FL

Legal business name

VIDA MEDICAL CENTER

Practice address

8420 W Flagler St Ste 218
Miami, FL 33144-2046

Phone

(305) 222-5005

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By 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

Yaccely E Hernandez I

Title

Authorized Official

Phone

(305) 227-6161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1295166858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 NW 20TH ST STE J",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722636",
            "telephone_number": "305-227-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 W FLAGLER ST STE 218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442046",
            "telephone_number": "305-222-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "YACCELY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-227-6161",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME66588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Chiropractic Miami II Corp
• Vida Clara Adult Living Facility, LLC.
• Vida Digna Home Care LLC
• Vida Group Services, Inc.
• Vida Holistica Alf Corp.
• Vida Medical Center Inc
• Vida Medical Centers of Sweetwater Corp. (Vida Medical Centers)
• Vida Nueva #1
• Vida Nueva #1 Corp.
• Vida Nueva #2 Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.