Vitalogy Healthcare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITALOGY HEALTHCARE LLC

Practice address

811 Ponce de Leon Blvd
Coral Gables, FL 33134-3007

Phone

(786) 452-9230

Fax

(786) 703-3745

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Lazaro Alfaro Jr.

Title

Director/Member

Phone

(786) 452-9230

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1538738893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343007",
            "telephone_number": "786-452-9230",
            "fax_number": "786-703-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343007",
            "telephone_number": "786-452-9230",
            "fax_number": "786-703-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALOGY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "DIRECTOR/MEMBER",
        "authorized_official_telephone_number": "786-452-9230",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0973",
            "identifier": "NUMB",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Care Group
• Vision Professional Network, LLC
• Viso E. Corpo LLC
• Vital Imaging Diagnostic Centers LLC
• Jiomare Vital, BT
• Teresa Maria Viteri, M.S., C.F.-SLP
• Christopher Vitolo, D.P.T.
• Yusimir Viton-Martinez, SLP A
• Edwin Vives Balmaceda, FOREIGN MD,APRN-FNP
• Jennifer Nicole Vives, ARNP

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.