Organization Active NPI

Hydravitalife LLC

  • Phlebotomy Technician
  • Miami, FL
National Provider Identifier
1689556557
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
HYDRAVITALIFE LLC
Practice address
9715 NW 5TH Terra
Miami, FL 33172
Phone
(786) 320-3505
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Sarai Cuevas Polo, RN
Title
Owner
Phone
(786) 320-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

9715 NW 5TH Terra
Miami, FL 33172

Mailing address

9715 NW 5TH Terra
Miami, FL 33172
Phone (786) 320-3505

Other names 1

  • HYDRAVITALIFE LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1689556557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 NW 5TH TERRA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "786-320-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 NW 5TH TERRA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "786-320-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRAVITALIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "CUEVAS POLO",
        "authorized_official_first_name": "SARAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-320-3505",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HYDRAVITALIFE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 22, 2025; 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.