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 7-12
Hialeah, FL 33012-3456

Phone

(305) 698-8432

Fax

(305) 698-8975

NPI assigned

Aug 3, 2017

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

Owner

Phone

(305) 874-3909

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1922523604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261821",
            "telephone_number": "305-874-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 W 49TH ST STE 7-12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123456",
            "telephone_number": "305-698-8432",
            "fax_number": "305-698-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331477734",
            "country_code": "US",
            "telephone_number": "305-960-7668",
            "fax_number": "786-310-7347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331443363",
            "country_code": "US",
            "telephone_number": "305-263-9590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15529 Bull Run Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330147004",
            "country_code": "US",
            "telephone_number": "305-328-8922",
            "fax_number": "786-224-6489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURA VIDA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "NURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-874-3909"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dulce Pupo, LCSW
• Yusimy Pupo, DDS
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• Pura Vida Medical Center, LLC
• Zsanett Purszki, AP
• Puzzle Builders Behavioral Therapy
• Maria Pyke, RPH
• Pyrimed Health Services, LLC
• Q Medical Supply Inc

• 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 Jun 24, 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.