Organization Active NPI

Vitalief Medical Center Inc

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1508531153
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VITALIEF MEDICAL CENTER INC
Practice address
1650 Sand Lake Rd Ste 114a
Orlando, FL 32809-7712
Phone
(407) 988-1177
Fax
(407) 598-5583
NPI assigned
Aug 14, 2021
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Mr. Raul Castillo
Title
Owner
Phone
(786) 234-4956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1650 Sand Lake Rd Ste 114a
Orlando, FL 32809-7712

Mailing address

1650 Sand Lake Rd Ste 114a
Orlando, FL 32809-7712
Phone (321) 800-6123

Other practice location 1

1456 S Semoran Blvd
Orlando, FL 32807-2918
Phone (321) 800-6123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250219000668 FL Part B Supplier - Clinic/Group Practice 6507386745 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2310719Vitalief Medical Center Inc1650 Sand Lake Rd Suite 114a, Orlando, FL 32809Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Locations

1650 Sand Lake Rd
Ste 114A
Orlando, FL 32809
Phone (321) 800-6123

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1508531153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD STE 114A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097712",
            "telephone_number": "321-800-6123",
            "fax_number": "407-598-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD STE 114A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097712",
            "telephone_number": "407-988-1177",
            "fax_number": "407-598-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1456 S Semoran Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328072918",
            "country_code": "US",
            "telephone_number": "321-800-6123",
            "fax_number": "407-598-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALIEF MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-14",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-234-4956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.