Active NPI
Vida Therapy Centers
- Legal Medicine
- Hialeah, FL
National Provider Identifier
1487925368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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 DirectoryNPI 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.