Vita Medical Group Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VITA MEDICAL GROUP INC

Practice address

13028 SW 120TH St FL 1
Miami, FL 33186-4522

Phone

(786) 592-2785

Fax

(786) 592-1476

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Ibetty Paez

Title

Owner

Phone

(786) 219-7540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1720661663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13028 SW 120TH ST FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864522",
            "telephone_number": "786-592-2785",
            "fax_number": "786-592-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13028 SW 120TH ST FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864522",
            "telephone_number": "786-592-2785",
            "fax_number": "786-592-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "IBETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-219-7540"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visual Care and Supplies Inc
• Alexandre G Visvikis, B.S. EX PHYSIOLO
• Smitha Viswanath, APRN
• Vinoop Viswanathan, M.D.
• Vita Care Group, LLC
• Vita RN, LLC
• Vita Wellness by CJ
• Arliette Vita, ARNP
• Vitacare Medical Group, LLC.
• Vitacura Home Health Agency LLC

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.