Vida Medical Network

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

VIDA MEDICAL NETWORK

Practice address

10920 W Flagler St
Suite # 201
Miami, FL 33174-1278

Phone

(786) 623-3915

Fax

(786) 623-3916

NPI assigned

Feb 27, 2017

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": "1730937600000",
    "number": "1982144739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 W FLAGLER ST",
            "address_2": "SUITE # 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741278",
            "telephone_number": "786-623-3915",
            "fax_number": "786-623-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 W FLAGLER ST",
            "address_2": "SUITE # 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741278",
            "telephone_number": "786-623-3915",
            "fax_number": "786-623-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "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": []
}

• Vida Group Services, Inc.
• Vida Holistica Alf Corp.
• Vida Medical Center
• Vida Medical Center Inc
• Vida Medical Centers of Sweetwater Corp.
• Vida Nueva #1
• Vida Nueva #1 Corp.
• Vida Nueva #2 Corp
• Vida Plena Medical Group Inc
• Vida Sense ,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.