PURA VIDA MEDICAL CENTER, LLC (NPI# 1922523604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922523604 |
| Entity Type | Organization |
| Organization Name | PURA VIDA MEDICAL CENTER, LLC |
| Practice Address |
1738 W 49th St Ste 7-12 Hialeah FL 33012-3456 |
| Mailing Address |
7925 Nw 12th St Ste 201 Doral FL 33126-1821 |
| Practice Telephone | 3056988432 |
| Practice Fax Number | 3056988975 |
| Mailing Telephone | 3058743909 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | NURY CARBAJAL (OWNER) |
| Authorized Official Telephone | 3058743909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15529 Bull Run Rd, Miami Lakes, FL 330147004 | 3053288922 | 7862246489 |
| 5850 W Flagler St, Miami, FL 331443363 | 3052639590 | |
| 6401 Nw 27th Ave, Miami, FL 331477734 | 3059607668 | 7863107347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646898 | Pura Vida Medical Center, LLC | General Practice | 15529 Bull Run Rd, Miami Lakes, FL 33014-7004 | 2020-07-09 |
| 1861040552 | Pura Vida Medical Center, LLC | General Practice | 1738 W 49th St Ste 10, Hialeah, FL 33012-3457 | 2019-08-27 |
| Street Address |
1738 W 49TH ST STE 7-12 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213247 | Anilin Lopez Gonzalez | General Practice | 805 W 30th St Apt 11, Hialeah, FL 33012-5051 | 2020-04-15 |
| 1184267239 | Katia Rodriguez | General Practice | 215 W 49th St, Hialeah, FL 33012-3713 | 2019-10-22 |
| 1942851951 | Saravian Medical Group Corp | General Practice | 134 E 49th St, Hialeah, FL 33013-1853 | 2019-09-23 |
| 1548823453 | Luis A. Robaina Md Pa | General Practice | 2337 W 76th St, Hialeah, FL 33016-1842 | 2019-04-16 |
| 1558821066 | Morales & Medina Therapy Corp | General Practice | 1275 W 47th Pl Ste 304, Hialeah, FL 33012-3447 | 2019-03-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1801314190 | East Medical Office | General Practice | 3778 W 12th Ave, Hialeah, FL 33012-4126 | 2017-09-06 |
| 1205351913 | Pelfas Medical Center Corp | General Practice | 900 W 49th St Ste 312, Hialeah, FL 33012-3435 | 2017-08-03 |
| 1225550494 | Fusion Medical Center Inc | General Practice | 900 W 49th St Ste 326, Hialeah, FL 33012-3435 | 2017-07-10 |
| 1356886212 | Spring Allergy Corp | General Practice | 7180 N Augusta Dr, Hialeah, FL 33015-2077 | 2017-01-03 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.