Vida Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VIDA WELLNESS CENTER LLC

Doing business as

REFINED VIDA

Practice address

50 Biscayne Blvd Apt 4607
Miami, FL 33132-2950

Phone

(786) 246-7822

Fax

(855) 620-6874

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Diego Socorro

Title

President

Phone

(786) 246-7822

Specialties & licenses 1

Addresses

Other names 1

• REFINED VIDA Doing business as

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1477319812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BISCAYNE BLVD APT 4607",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322950",
            "telephone_number": "786-246-7822",
            "fax_number": "855-620-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BISCAYNE BLVD APT 4607",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322950",
            "telephone_number": "786-246-7822",
            "fax_number": "855-620-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SOCORRO",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-246-7822"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REFINED VIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vidacare Health Center LLC
• Vidacare Health Solutions Corp.
• Melissa Marie Vidaechea, ARNP
• Christie Vidaillet

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.