Organization Active NPI

Vital Medicare Therapist Corp

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1457275125
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VITAL MEDICARE THERAPIST CORP
Practice address
1890 S Red Rd Ste 104
Miami, FL 33155-2164
Phone
(786) 359-4434
Fax
(786) 359-4446
NPI assigned
Aug 6, 2026
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Boris Duarte
Title
Owner
Phone
(786) 715-7432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1890 S Red Rd Ste 104
Miami, FL 33155-2164

Mailing address

1890 S Red Rd Ste 104
Miami, FL 33155-2164
Phone (786) 359-4434

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1457275125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S RED RD STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "786-359-4434",
            "fax_number": "786-359-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S RED RD STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "786-359-4434",
            "fax_number": "786-359-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICARE THERAPIST CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-715-7432"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.