Vitalx Health LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

VITALX HEALTH LLC

Practice address

19001 SW 106TH Ave Unit C109
Cutler Bay, FL 33157-7669

Phone

(305) 964-5425

Fax

(305) 964-5465

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Vivian T Giraldo, APRNNPI 1699436048

Title

Owner

Phone

(305) 497-4007

Specialties & licenses 4

Addresses

Other names 1

• VitalX Health LLC Doing business as

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

Locations

Practitioners 1

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

• Vivian Tatiana Giraldo, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Miami, FL
  • NPI 1699436048
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1336836170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE UNIT C109",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "305-964-5425",
            "fax_number": "305-964-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE UNIT C109",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "305-964-5425",
            "fax_number": "305-964-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALX HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-497-4007",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VitalX Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VitalX Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yirelys Viza Rodriguez
• Ricardo Vizcaino Sr.
• VTS Therapeutic Services
• Haleema Wahla

• Geriatric Medicine (Family Medicine) Physician in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.