Organization Active NPI

Pura Vida Adult Day Care Inc

  • Adult Day Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1740987353
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PURA VIDA ADULT DAY CARE INC
Practice address
16790 NW 67TH Ave
Hialeah, FL 33015-4202
Phone
(786) 498-3238
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Mrs. Yinet Gonzalez
Title
Owner
Phone
(786) 498-3238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

16790 NW 67TH Ave
Hialeah, FL 33015-4202

Mailing address

16790 NW 67TH Ave
Hialeah, FL 33015-4202
Phone (786) 498-3238

Other identifiers 1

IdentifierTypeStateIssuer
9557MedicaidFL

National Provider Directory

National Provider Directory

Locations

16790 NW 67th Ave
Hialeah, FL 33015
Phone (786) 498-3238

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1740987353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16790 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154202",
            "telephone_number": "786-498-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16790 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154202",
            "telephone_number": "786-498-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YINET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-498-3238",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9557",
            "state": "FL"
        }
    ],
    "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 Feb 14, 2023; 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.