Vital Medical Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITAL MEDICAL GROUP INC

Practice address

1401 SW 1St St Ste 101
Miami, FL 33135-2212

Phone

(786) 401-7291

Fax

(305) 603-8782

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Malkiel Nieto

Title

President

Phone

(786) 401-7291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1790598472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW 1ST ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352212",
            "telephone_number": "786-401-7291",
            "fax_number": "305-603-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW 1ST ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352212",
            "telephone_number": "786-401-7291",
            "fax_number": "305-603-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "MALKIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-401-7291"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Dent, PLLC
• Vital Health Clinic LLC
• Vital Imaging Diagnostic Centers LLC
• Vital Life Healthcare Inc
• Vital Medical Center Inc
• Vital Medical Heath Inc
• Vital Medical Research, LLC.
• Vital Medical Supply Inc
• Vital Medical, Services, Inc
• Vital Medicare Therapist Corp

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.