UNIVIDA MEDICAL CENTER LLC NPI 1427634757

NPI Information

NPI: 1427634757
Provider Name: UNIVIDA MEDICAL CENTER LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2231362

Address:
25 NW 57TH AVE
MIAMI, FL
ZIP 33126
Phone: (305) 204-0333
Get Directions

UNIVIDA MEDICAL CENTER LLC is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee UNIVIDA MEDICAL CENTER LLC NPI is 1427634757. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 NW 57TH AVE
MIAMI, FL
ZIP 33126-802
Phone: (305) 204-0333

The provider's authorized official is Luis Castro .
The authorized official title is Managing Partner and has the following contact phone number (305) 204-0333.

The CLIA number assigned to this NPI record is 10D2231362 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2021 and was last updated on 8/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	114295503	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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