Organization Active NPI

Viva Wellness & Injury, LLC

  • Interventional Pain Medicine Physician
  • Orlando, FL
National Provider Identifier
1871019729
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
VIVA WELLNESS & INJURY, LLC
Practice address
7780 Lake Underhill Rd Ste 109
Orlando, FL 32822-8218
Phone
(407) 350-5075
Fax
(407) 350-5089
NPI assigned
Aug 22, 2017
Organization subpart
Yes
Parent organization
VIVA WELLNESS & INJURY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Edwin Mejias
Title
Vice President
Phone
(407) 493-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

7780 Lake Underhill Rd Ste 109
Orlando, FL 32822-8218

Mailing address

5703 Red Bug Lake Rd # 310
Winter Springs, FL 32708-4969
Phone (407) 350-5075

National Provider Directory

National Provider Directory
Part of
Viva Wellness Injury LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1871019729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 RED BUG LAKE RD # 310",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084969",
            "telephone_number": "407-350-5075",
            "fax_number": "407-350-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 LAKE UNDERHILL RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228218",
            "telephone_number": "407-350-5075",
            "fax_number": "407-350-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA WELLNESS & INJURY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVA WELLNESS & INJURY, LLC",
        "enumeration_date": "2017-08-22",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "MEJIAS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-493-3979"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.