Organization Active NPI

Bella Vida Wellness Services Inc

  • Family Nurse Practitioner
  • Miami Springs, FL
National Provider Identifier
1861276156
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BELLA VIDA WELLNESS SERVICES INC
Doing business as
Bella Vida Wellness Services Inc
Practice address
4483 NW 36TH St Ste 112
Miami Springs, FL 33166-7260
Phone
(305) 392-0106
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Leonida Hernandez Soto, NPNPI 1548741291
Title
Autonomous Nurse Practitioner
Phone
(786) 286-7041

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4483 NW 36TH St Ste 112
Miami Springs, FL 33166-7260

Mailing address

4483 NW 36TH St Ste 112
Miami Springs, FL 33166-7260
Phone (305) 392-0106

Other names 1

  • Bella Vida Wellness Services Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701004139 FL Part B Supplier - Clinic/Group Practice 0648714634 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Springs, FL

National Provider Directory

National Provider Directory

Locations

4483 NW 36th St
Ste 112
Miami Springs, FL 33166
Phone (305) 392-0106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1861276156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4483 NW 36TH ST STE 112",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667260",
            "telephone_number": "305-392-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4483 NW 36TH ST STE 112",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667260",
            "telephone_number": "305-392-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VIDA WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ SOTO",
        "authorized_official_first_name": "LEONIDA",
        "authorized_official_title_or_position": "AUTONOMOUS NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-286-7041",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vida Wellness Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.