Organization Active NPI

Vida Nueva Health Center Inc

  • Community/Behavioral Health Agency
  • Miami Springs, FL
National Provider Identifier
1366027815
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VIDA NUEVA HEALTH CENTER INC
Practice address
5209 NW 36TH St
Miami Springs, FL 33166-5923
Phone
(786) 712-7752
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Alain Cribeiro
Title
President
Phone
(786) 712-7752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5209 NW 36TH St
Miami Springs, FL 33166-5923

Mailing address

5209 NW 36TH St
Miami Springs, FL 33166-5923
Phone (786) 712-7752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220324001740 FL Part B Supplier - Clinic/Group Practice 6305231531 Receives reassigned benefits from 2 practitioners
Practice locations: Miami Springs, FL

National Provider Directory

National Provider Directory

Locations

5209 NW 36th St
Miami Springs, FL 33166
Phone (786) 542-8742

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1366027815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 NW 36TH ST",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665923",
            "telephone_number": "786-712-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 NW 36TH ST",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665923",
            "telephone_number": "786-712-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA NUEVA HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "CRIBEIRO",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-712-7752"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.