Vidamer Health Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIDAMER HEALTH INC

Practice address

10300 Sunset Dr Ste 232
Miami, FL 33173-3003

Phone

(305) 982-8913

Fax

(786) 991-2304

NPI assigned

Feb 20, 2020

Organization subpart

No

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

Authorized official

Name

Ivan Rafael Valdes Abreu, APRN-FNP-CNPI 1063045813

Title

President

Phone

(305) 982-8913

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ivan Rafael Valdes Abreu, APRN-FNP-C

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1063045813

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1447883103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SUNSET DR STE 232",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733003",
            "telephone_number": "305-982-8913",
            "fax_number": "786-991-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SUNSET DR STE 232",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733003",
            "telephone_number": "305-982-8913",
            "fax_number": "786-991-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAMER HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "VALDES ABREU",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-982-8913",
        "authorized_official_credential": "APRN-FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Vidal
• Yanitza Vidal
• Yenma Milagro Vidal
• Vidalife Medical Service Center Corp
• Vidalux Mind and Wellness Group LLC
• Marcia Vidan, M.D.
• Vidanova Medical Group, LLC
• Melissa Vidaurrazaga
• Carolina Vidaurre
• Lissandra Vidaurreta

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.