Organization Active NPI

Vidacare Health Solutions Corp.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1467046524
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VIDACARE HEALTH SOLUTIONS CORP.
Practice address
8501 SW 124TH Ave Ste 205
Miami, FL 33183-4633
Phone
(786) 295-8572
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Sergio Betancourt
Title
Manager
Phone
(786) 295-8572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 205
Miami, FL 33183-4633

Mailing address

8501 SW 124TH Ave Ste 205
Miami, FL 33183-4633
Phone (786) 295-8572

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1467046524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834633",
            "telephone_number": "786-295-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834633",
            "telephone_number": "786-295-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDACARE HEALTH SOLUTIONS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-295-8572"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "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 Mar 1, 2021; 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.