Vida Medical Care LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

VIDA MEDICAL CARE LLC

Practice address

2550 NW 100TH Ave FL 2
Doral, FL 33172-1319

Phone

(305) 269-7887

Fax

(786) 623-3916

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Sandy Lopez

Title

President/Ceo

Phone

(305) 269-7887

Specialties & licenses 1

Addresses

Other names 1

• Vida Medical Care LLC Former legal business name

Locations

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1568121192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NW 100TH AVE FL 2",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721319",
            "telephone_number": "305-269-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NW 100TH AVE FL 2",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721319",
            "telephone_number": "305-269-7887",
            "fax_number": "786-623-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "305-269-7887"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Medical Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Victoria Alliegro, Ms, Otr/L PA
• Victoria Fierro MD PA
• Vivian Victoria, PHARMD
• Vida Community Health Clinic
• Vida Health Solutions LLC
• Jose Alberto Vidal Garcia
• Cristevy M. Vidal Gomez, IBCLC
• Leticia Vidal Reyes, CBHCM
• Chandelle Vidal
• Juan Vidal, RN

• Contractor in Doral, FL
• Providers in Doral, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.