Organization Active NPI

Vida Healthcare Services Inc

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1891532008
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VIDA HEALTHCARE SERVICES INC
Practice address
2387 W 68TH St Ste 201
Hialeah, FL 33016-6890
Phone
(305) 557-8486
Fax
(305) 557-1025
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Pascual Mora Delgado, APRN 11014696
Title
Owner 11014696
Phone
(786) 486-9896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2387 W 68TH St Ste 201
Hialeah, FL 33016-6890

Mailing address

2387 W 68TH St Ste 201
Hialeah, FL 33016-6890
Phone (305) 557-8486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240802002920 FL Part B Supplier - Clinic/Group Practice 5597202911 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

2387 W 68th St
Ste 201
Hialeah, FL 33016
Phone (305) 557-8486

Practitioners & affiliated clinicians

Practitioners 2

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": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1891532008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-557-8486",
            "fax_number": "305-557-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-557-8486",
            "fax_number": "305-557-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "MORA DELGADO",
        "authorized_official_first_name": "PASCUAL",
        "authorized_official_title_or_position": "OWNER 11014696",
        "authorized_official_telephone_number": "786-486-9896",
        "authorized_official_credential": "APRN 11014696"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.