Pura Vida Medical Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PURA VIDA MEDICAL CENTER, LLC

Practice address

1738 W 49TH St Ste 10
Hialeah, FL 33012-3457

Phone

(305) 698-8432

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Nury Carbajal

Title

Ceo

Phone

(305) 874-3909

Specialties & licenses 1

Addresses

Tax ID family

Pura Vida Medical Center LLC2 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.

• Pura Vida Medical Center, LLC

  • General Practice Physician
  • Miami Lakes, FL
  • NPI 1124646898
  NPD tax ID

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1861040552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 W 49TH ST STE 7-12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 W 49TH ST STE 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123457",
            "telephone_number": "305-698-8432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 West Flagler Street",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33144",
            "country_code": "US",
            "telephone_number": "305-263-9590",
            "fax_number": "305-263-9657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331477734",
            "country_code": "US",
            "telephone_number": "305-960-7668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURA VIDA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "NURY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-874-3909"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ania Pupo, RBT
• Damiana Del Carmen Pupo
• Dulce Pupo, LCSW
• Yusimy Pupo, DDS
• Pura Vida Adult Day Care Inc
• Pura Vida Medical Center, LLC
• Zsanett Purszki, AP
• Puzzle Builders Behavioral Therapy
• Maria Pyke, RPH
• Pyrimed Health Services, LLC

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.