Organization Active NPI

Vitalink Telehealth

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1487444956
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITALINK TELEHEALTH
Doing business as
VitaLink
Practice address
370 W 39TH PL
Hialeah, FL 33012-4340
Phone
(305) 322-8143
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Mr. Juan Carlos Fernandez, APRNNPI 1093492209
Title
Founder / Ceo / Aprn
Phone
(305) 322-8143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

370 W 39TH PL
Hialeah, FL 33012-4340

Mailing address

370 W 39TH PL
Hialeah, FL 33012-4340
Phone (305) 322-8143

Other names 1

  • VitaLink Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910003244 FL Part B Supplier - Clinic/Group Practice 5890200026 Receives reassigned benefits from 1 practitioner
Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

3625 NW 82nd Ave
Ste 400A3
Doral, FL 33166
Phone (305) 481-8535

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1487444956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W 39TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124340",
            "telephone_number": "305-322-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W 39TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124340",
            "telephone_number": "305-322-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALINK TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "FOUNDER / CEO / APRN",
        "authorized_official_telephone_number": "305-322-8143",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VitaLink",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.