NPIMap

Organization Active NPI

Vida Medical Center of Miami

  • Community Health Worker
  • Hialeah, FL
National Provider Identifier
1649617234
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
700908-7 Issued in FL
Legal business name
VIDA MEDICAL CENTER OF MIAMI
Practice address
315 W 9TH St
Hialeah, FL 33010-3853
Phone
(786) 360-4528
Fax
(786) 360-4529
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Enrique Lopez
Title
President
Phone
(786) 360-4528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X 700908-7 FL Primary

Addresses

Primary practice location

315 W 9TH St
Hialeah, FL 33010-3853

Mailing address

315 W 9TH St
Hialeah, FL 33010-3853
Phone (786) 360-4528

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1649617234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103853",
            "telephone_number": "786-360-4528",
            "fax_number": "786-360-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103853",
            "telephone_number": "786-360-4528",
            "fax_number": "786-360-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL CENTER OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-4528"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "700908-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.