Leticia Vidal Reyes, CBHCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10520 NW 26TH St Ste C201C202
Doral, FL 33172-5940

Phone

(786) 704-6657

NPI assigned

Apr 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1447946363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8889 FONTAINEBLEAU BLVD APT 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724445",
            "telephone_number": "678-907-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 NW 26TH ST STE C201C202",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725940",
            "telephone_number": "786-704-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL REYES",
        "first_name": "LETICIA",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Community Health Clinic
• Vida Health Solutions LLC
• Vida Medical Care LLC
• Jose Alberto Vidal Garcia
• Cristevy M. Vidal Gomez, IBCLC
• Chandelle Vidal
• Juan Vidal, RN
• Katerina Elizabeth Vidal
• Lizet Vidal, MD
• Saida Caridad Vidal

• Case Manager/Care Coordinator in Doral, FL
• Providers in Doral, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.