Pura Vida Pain Center, Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PURA VIDA PAIN CENTER, INC

Practice address

4801 E Busch Blvd
Unit a
Tampa, FL 33617-6416

Phone

(813) 980-6700

Fax

(813) 980-6711

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Chiara Williams

Title

Owner

Phone

(813) 980-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902013261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BUSCH BLVD",
            "address_2": "UNIT A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176416",
            "telephone_number": "813-980-6700",
            "fax_number": "813-980-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E BUSCH BLVD",
            "address_2": "UNIT A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176416",
            "telephone_number": "813-980-6700",
            "fax_number": "813-980-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA PAIN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-980-6700"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE EST LICENSE",
            "identifier": "MM18936",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Pupo Fernandez
• Raidel Pupo Martinez
• Delvis Pupo Mulet
• Yamile Pupo, APRN
• Pura Vida Day Center LLC
• Aditi Vinayak Purandare, MD
• Amy Purcell
• Christopher J. Purcell, M.D.
• Christopher Michael Purcell, MD
• Shea Alyse Purcell, FNP-BC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.