Organization Active NPI

Vida Therapy Centers

  • Legal Medicine
  • Hialeah, FL
National Provider Identifier
1487925368
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
VIDA THERAPY CENTERS
Practice address
881 E 2ND Ave
881 East 2ND Avenue
Hialeah, FL 33010-4205
Phone
(305) 882-1100
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
William Valladares Jr.
Title
President
Phone
(305) 882-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

881 E 2ND Ave
881 East 2ND Avenue
Hialeah, FL 33010-4205

Mailing address

881 E 2ND Ave
881 East 2ND Avenue
Hialeah, FL 33010-4205
Phone (305) 882-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1487925368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 E 2ND AVE",
            "address_2": "881 EAST 2ND AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104205",
            "telephone_number": "305-882-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 E 2ND AVE",
            "address_2": "881 EAST 2ND AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104205",
            "telephone_number": "305-882-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA THERAPY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-882-1100",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2012; 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.