Organization Active NPI

Mi Vida Diagnostics PLLC

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1568172104
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MI VIDA DIAGNOSTICS PLLC
Practice address
18816 FM 2252 Ste B
San Antonio, TX 78266-2853
Phone
(210) 823-0100
NPI assigned
Dec 5, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Ashley Hernandez, FNPNPI 1164900429
Title
Owner
Phone
(210) 550-4533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

18816 FM 2252 Ste B
San Antonio, TX 78266-2853

Mailing address

18816 FM 2252 Ste B
San Antonio, TX 78266-2853
Phone (210) 823-0100

National Provider Directory

National Provider Directory

Locations

18816 FM 2252
Ste B
San Antonio, TX 78266
Phone (210) 823-0100

Practitioners & affiliated clinicians

Practitioners 1

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": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1568172104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18816 FM 2252 STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662853",
            "telephone_number": "210-823-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18816 FM 2252 STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662853",
            "telephone_number": "210-823-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI VIDA DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-550-4533",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.