Active NPI
Viva Medical Center
- Clinic/Center
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- VIVA MEDICAL CENTER
- Practice address
- 10560 NW 27TH St Unit G101-a
Doral, FL 33172-5928 - Phone
- (305) 209-0001
- NPI assigned
- Mar 30, 2021
- Last updated
- Nov 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yissel Perez
- Title
- Ceo
- Phone
- (305) 209-0002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
10560 NW 27TH St Unit G101-a
Doral, FL 33172-5928
Mailing address
10560 NW 27TH St Unit G101-a
Doral, FL 33172-5928
Phone (305) 209-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2276668 | Viva Medical Center LLC | Certificate of waiver | Feb 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
10560 NW 27th St
Doral, FL 33172
Phone (305) 209-0001
10560 NW 27th St
Ste 101
Doral, FL 33172
10560 NW 27th St
Ste G101
Doral, FL 33172
10560 NW 27th St
Unit G101A
Doral, FL 33172
Phone (305) 209-0001
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCABDD
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1508898271
-
- Neurology Physician
- Miami, FL
- NPI 1295421428
-
- Family Nurse Practitioner
- Oakland Park, FL
- NPI 1275201816
-
- Nurse Practitioner
- Doral, FL
- NPI 1194451401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637712000000",
"number": "1811575087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 NW 27TH ST UNIT G101-A",
"city": "DORAL",
"state": "FL",
"postal_code": "331725928",
"telephone_number": "305-209-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 NW 27TH ST UNIT G101-A",
"city": "DORAL",
"state": "FL",
"postal_code": "331725928",
"telephone_number": "305-209-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "YISSEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-209-0002",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.