Organization Active NPI

CDC Research Institute,LLC

  • Family Medicine Physician
  • Port Saint Lucie, FL
National Provider Identifier
1922769561
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CDC RESEARCH INSTITUTE,LLC
Practice address
1700 SE Hillmoor Dr Ste 305
Port Saint Lucie, FL 34952-7536
Phone
(772) 807-1636
Fax
(772) 807-1636
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Vivian Salinas, APRN
Title
President
Phone
(305) 812-4329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1700 SE Hillmoor Dr Ste 305
Port Saint Lucie, FL 34952-7536

Mailing address

1700 SE Hillmoor Dr Ste 305
Port Saint Lucie, FL 34952-7536
Phone (772) 807-1636

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2192648CDC Research Institute LLC1700 SE Hillmoor Dr Suite 305, Port Saint Lucie, FL 34952Provider-performed microscopySep 12, 2026

National Provider Directory

National Provider Directory

Locations

1700 SE Hillmoor Dr
Ste 305
Port St Lucie, FL 34952
Phone (772) 292-8188

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1922769561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 305",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527536",
            "telephone_number": "772-807-1636",
            "fax_number": "772-807-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 305",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527536",
            "telephone_number": "772-807-1636",
            "fax_number": "772-807-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDC RESEARCH INSTITUTE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-812-4329",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.