Vida Therapy Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VIDA THERAPY INC

Practice address

9847 SW 184TH St
Palmetto Bay, FL 33157-6934

Phone

(786) 227-6177

Fax

(786) 842-3608

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Ayremis Rodriguez, MA

Title

President

Phone

(786) 227-6177

Specialties & licenses 6

Addresses

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernesto Enrique, ARNP, AGNP-BC

  • Adult Health Nurse Practitioner
  • Miami Lakes, FL
  • NPI 1336620665
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1962876557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST STE 207",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-227-6177",
            "fax_number": "786-842-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-227-6177",
            "fax_number": "786-842-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11285 SW 211th St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331892211",
            "country_code": "US",
            "telephone_number": "786-227-6177",
            "fax_number": "786-842-3608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3146 SW 22nd St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331453210",
            "country_code": "US",
            "telephone_number": "305-964-7479",
            "fax_number": "786-732-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIDA THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "AYREMIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-227-6177",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Luis Velez Perez, MD
• Shulien Venero
• Ileana Verdecia Michelena
• Yanna Vergara
• Mariliz Vicente Oliva, PTA
• Carmine Vidana, LMHC
• Shirley Viera
• Frances Elvira Vile, L.C.S.W.
• Eidy Villalonga, RBT
• Alexis Rene Viltres

• General Practice Physician in Palmetto Bay, FL
• Providers in Palmetto Bay, 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 Nov 8, 2021; 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.