Active NPI
Vital Medical Research, LLC.
- Research Clinic/Center
- Miami, FL
National Provider Identifier
1578338067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- VITAL MEDICAL RESEARCH, LLC.
- Practice address
- 10780 W Flagler St Ste 6
Miami, FL 33174-4403 - Phone
- (305) 807-6532
- NPI assigned
- Nov 15, 2023
- Last updated
- Nov 15, 2023
- 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
- Jorge Garcia
- Title
- Credentialing Director
- Phone
- (305) 606-0337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | NU | Primary |
Addresses
Primary practice location
10780 W Flagler St Ste 6
Miami, FL 33174-4403
Mailing address
2818 SW 145TH CT
Miami, FL 33175-7479
Phone (305) 807-6532
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2295028 | Vital Medical Research, LLC | Certificate of waiver | Dec 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
10780 W Flagler St
Ste 6
Miami, FL 33174
Phone (305) 807-6532
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.
-
- Acute Care Nurse Practitioner
- South Miami, FL
- NPI 1376188862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1578338067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 SW 145TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331757479",
"telephone_number": "305-807-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 W FLAGLER ST STE 6",
"city": "MIAMI",
"state": "FL",
"postal_code": "331744403",
"telephone_number": "305-807-6532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL MEDICAL RESEARCH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "JORGE",
"authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
"authorized_official_telephone_number": "305-606-0337"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.