Vida Nueva #2 Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10841 Issued in FL

Legal business name

VIDA NUEVA #2 CORP

Practice address

735 NW 102ND St
Miami, FL 33150-1338

Phone

(305) 742-4738

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Jesus Hernandez

Title

President

Phone

(305) 742-4738

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1962716522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 NW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501338",
            "telephone_number": "305-742-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 NW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501338",
            "telephone_number": "305-742-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA NUEVA #2 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-742-4738"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001988100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida Medical Center Inc
• Vida Medical Centers of Sweetwater Corp. (Vida Medical Centers)
• Vida Medical Network
• Vida Nueva #1
• Vida Nueva #1 Corp.
• Vida Plena Medical Group Inc
• Vida Sense ,LLC
• Vida Therapy Center & Spa, Corp
• Vida Therapy Center Inc
• Vida Wellness Center LLC (Refined Vida)

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.