Active NPI
Mas Vida Medical Center Corp
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1992561492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MAS VIDA MEDICAL CENTER CORP
- Practice address
- 15190 SW 136TH St Ste 11
Miami, FL 33196-2618 - Phone
- (786) 587-3606
- NPI assigned
- Feb 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leticia Menes
- Title
- Owner
- Phone
- (786) 587-3606
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
15190 SW 136TH St Ste 11
Miami, FL 33196-2618
Mailing address
15190 SW 136TH St Ste 11
Miami, FL 33196-2618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Mas Vida Medical Center Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Miami, FL
- NPI 1881411304
Locations
15190 SW 136th St
Ste 11
Miami, FL 33196
Phone (786) 587-3606
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Pembroke Pines, FL
- NPI 1073116000
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1811474497
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami Lakes, FL
- NPI 1932775590
-
- Marriage & Family Therapist
- Miami, FL
- NPI 1356028245
-
- Clinical Social Worker
- Miami, FL
- NPI 1447411558
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1043969215
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1760058051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1992561492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15190 SW 136TH ST STE 11",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 SW 136TH ST STE 11",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962618",
"telephone_number": "786-587-3606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAS VIDA MEDICAL CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-22",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "MENES",
"authorized_official_first_name": "LETICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-587-3606"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.