Vida Medical Rehab Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VIDA MEDICAL REHAB CORP

Practice address

1840 W 49TH St Ste 304
Hialeah, FL 33012-2965

Phone

(305) 200-1012

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Pedro HerreraNPI 1790502698

Title

Owner

Phone

(786) 803-8596

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Pedro Herrera

  • Massage Therapist
  • Hialeah, FL
  • NPI 1790502698
  NPD Authorized official
• Adis Elena Padron, LMHC

  • Mental Health Counselor
  • Hialeah, FL
  • NPI 1427647288
  Medicare reassignment

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1407415607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122965",
            "telephone_number": "305-200-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122965",
            "telephone_number": "305-200-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-803-8596"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST (PT, OT, ST)",
            "identifier": "115626900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114105800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida Health Centers, Inc.
• Vida Healthcare Services Inc
• Vida Home, LLC
• Vida Home, LLC
• Vida Medical Center of Miami
• Vida Medical Research Inc
• Vida Medical Services Inc
• Vida Pharmacy Corp
• Vida Saude Telehealth LLC
• Vida Therapy Centers

• Community/Behavioral Health Agency in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.