Organization Active NPI

Sol Y Vida Medical Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1790337764
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOL Y VIDA MEDICAL CENTER INC
Practice address
12765 SW 42ND St
Miami, FL 33175-3429
Phone
(305) 603-9933
NPI assigned
Jul 10, 2019
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Mrs. Yolanda Rodriguez, APRNNPI 1841774130
Title
President
Phone
(305) 205-5058

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 NU Primary

Addresses

Primary practice location

12765 SW 42ND St
Miami, FL 33175-3429

Mailing address

12765 SW 42ND St
Miami, FL 33175-3429
Phone (305) 603-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827001319 FL Part B Supplier - Clinic/Group Practice 0446751085 Receives reassigned benefits from 1 practitioner
Practice locations: Greenacres, FL; Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Sol Y Vida Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11401 SW 40th St
Ste 101
Miami, FL 33165
Phone (305) 226-3933

12765 SW 42nd St
Miami, FL 33175
Phone (305) 603-9933

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1790337764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12765 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753429",
            "telephone_number": "305-603-9333",
            "fax_number": "305-603-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12765 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753429",
            "telephone_number": "305-603-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL Y VIDA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-205-5058",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.