Vitality Medical Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITALITY MEDICAL CLINIC LLC

Practice address

7154 SW 47TH St # 7154-a
Miami, FL 33155-4664

Phone

(786) 533-0299

Fax

(786) 821-0248

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Leonor Castillo Martinez

Title

MGR Administrator

Phone

(786) 533-0299

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1346054608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 SW 47TH ST # 7154-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554664",
            "telephone_number": "786-533-0299",
            "fax_number": "786-821-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7154 SW 47TH ST # 7154-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554664",
            "telephone_number": "786-533-0299",
            "fax_number": "786-821-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "CASTILLO MARTINEZ",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "MGR ADMINISTRATOR",
        "authorized_official_telephone_number": "786-533-0299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitalis Medical Group Corp
• Vitality Center Inc
• Vitality Healthcare Group Inc
• Vitality Massage Studio
• Vitality Medical Center LLC
• Vitality Mental Health Center Corp
• Vitality Palace Corp
• Vitalmd Group Holding LLC
• Vitalmd Group Holding LLC
• Vitalmind Psychiatry Care PLLC

• 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 Feb 5, 2025; 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.