Vida Group Services, Inc.

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

Legal business name

VIDA GROUP SERVICES, INC.

Practice address

777 NW 72ND Ave
Suite 3157
Miami, FL 33126-3009

Phone

(786) 712-7312

Fax

(305) 675-5755

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Victor Ramon Castillo

Title

President

Phone

(786) 768-4882

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1407097876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE",
            "address_2": "SUITE 3157",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263009",
            "telephone_number": "786-712-7312",
            "fax_number": "305-675-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE",
            "address_2": "SUITE 3157",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263009",
            "telephone_number": "786-712-7312",
            "fax_number": "305-675-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA GROUP SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-768-4882"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Lionel Victory, LCSW
• Vida Care Spine and Injury Center
• Vida Chiropractic Miami II Corp
• Vida Clara Adult Living Facility, LLC.
• Vida Digna Home Care LLC
• Vida Holistica Alf Corp.
• Vida Medical Center
• Vida Medical Center Inc
• Vida Medical Centers of Sweetwater Corp.
• Vida Medical Network

• Radiology Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Radiology Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.