Vida Medical Network LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

VIDA MEDICAL NETWORK LLC

Practice address

14901 NW 79 CT
2ND Floor
Miami Lakes, FL 33016-5856

Phone

(305) 269-7887

Fax

(786) 219-4300

NPI assigned

Feb 27, 2017

Last updated

Oct 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandy Lopez

Title

President

Phone

(786) 499-3499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1982144739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 NW 79 CT",
            "address_2": "2ND FLOOR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165856",
            "telephone_number": "305-269-7887",
            "fax_number": "786-219-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 NW 79 CT",
            "address_2": "2ND FLOOR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165856",
            "telephone_number": "305-269-7887",
            "fax_number": "786-219-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-499-3499"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Medical Group Inc
• Altagracia Adalgiza Victoria, M.D.
• Vida Home Health Services LLC
• Vida Med Center LLC
• Vida Medical Care LLC
• Vida Mental Health Services Inc
• Marieta Vidal, PHARMD
• Natalie Marie Vidal
• Nicole Vidal
• Doraymis Viera

• Contractor in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.