Organization Active NPI

Clinica Medica Vida Plus, LLC

  • Clinic/Center
  • Omaha, NE
National Provider Identifier
1710856299
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLINICA MEDICA VIDA PLUS, LLC
Practice address
3213 S 24TH St Ste 101B
Omaha, NE 68108-1832
Phone
(402) 259-0106
Fax
(402) 259-0107
NPI assigned
Nov 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Juan Acosta GuzmanNPI 1154919603
Title
NP
Phone
(786) 234-7253

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

3213 S 24TH St Ste 101B
Omaha, NE 68108-1832

Mailing address

3213 S 24TH St Ste 101B
Omaha, NE 68108-1832
Phone (402) 259-0106

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2015962Clinica Medica Vida Plus3213 South 24TH Street, Suite 101, Omaha, NE 68108Certificate of waiverOct 23, 2027

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": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1710856299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 S 24TH ST STE 101B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081832",
            "telephone_number": "402-259-0106",
            "fax_number": "402-259-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 S 24TH ST STE 101B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081832",
            "telephone_number": "402-259-0106",
            "fax_number": "402-259-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA VIDA PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "ACOSTA GUZMAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "786-234-7253"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.

Verify at the official NPI Registry.