VIDA WELLNESS CENTER LLC NPI 1477319812

NPI Information

  • NPI: 1477319812
  • Provider Name: VIDA WELLNESS CENTER LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2302642
  • Address: 50 BISCAYNE BLVD APT 4607
    MIAMI, FL
    ZIP 33132
  • Phone: (786) 246-7822

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NPI Details

VIDA WELLNESS CENTER LLC is a clinic center in Miami, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VIDA WELLNESS CENTER LLC NPI is 1477319812. The provider is registered as an organization entity type.

The provider's business location address is:

50 BISCAYNE BLVD APT 4607
MIAMI, FL
ZIP 33132-950
Phone: (786) 246-7822
Fax: (855) 620-6874

The provider's authorized official is Diego Socorro .
The authorized official title is President and has the following contact phone number (786) 246-7822.

The CLIA number assigned to this NPI record is 10D2302642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2024 and was last updated on 2/26/2024.

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
1261Q00000XClinic/CenterYes

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: 11/21/2025

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