Vital Medical Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0045837 Issued in FL

Legal business name

VITAL MEDICAL CENTER INC

Practice address

8300 West Flasler Street
Suite #175
Miami, FL 33144-2098

Phone

(305) 220-0300

Fax

(305) 220-1472

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Fernando Jose Lora, MDNPI 1427143908

Title

MD

Phone

(305) 220-0300

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Fernando Jose Lora, MD

  • Specialist
  • Miami, FL
  • NPI 1427143908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1457314064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST",
            "address_2": "SUITE #175",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331446000",
            "telephone_number": "305-220-0300",
            "fax_number": "305-220-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 WEST FLASLER STREET",
            "address_2": "SUITE #175",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442098",
            "telephone_number": "305-220-0300",
            "fax_number": "305-220-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-220-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0045837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0125792",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042148100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vital Care Therapy Inc
• Vital Dent, PLLC
• Vital Health Clinic LLC
• Vital Imaging Diagnostic Centers LLC
• Vital Life Healthcare Inc
• Vital Medical Group Inc
• Vital Medical Heath Inc
• Vital Medical Research, LLC.
• Vital Medical Supply Inc
• Vital Medical, Services, Inc

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.