Vida Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10589 Issued in FL

Legal business name

VIDA CHIROPRACTIC CENTER INC

Practice address

3420 W 84TH St Ste 102
Hialeah, FL 33018-4937

Phone

(305) 603-8408

Fax

(305) 603-8906

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Danay S Gonzalez, DC

Title

Vice President

Phone

(786) 247-2010

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1982051173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W 84TH ST STE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184937",
            "telephone_number": "305-603-8408",
            "fax_number": "305-603-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W 84TH ST STE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184937",
            "telephone_number": "305-603-8408",
            "fax_number": "305-603-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DANAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-247-2010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10589",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory BRT
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• Victory BRT, Corp
• Victory CMH Corp
• Vida First Home Care LLC
• Vida Health Care
• Vida Health Centers, Inc.
• Vida Healthcare Services Inc
• Vida Home, LLC

• Chiropractor in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.