NUEVA VITA LLC NPI 1699341859

NPI Information

  • NPI: 1699341859
  • Provider Name: NUEVA VITA LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 21D2247168
  • Address: 2415 MUSGROVE RD STE 302
    SILVER SPRING, MD
    ZIP 20904
  • Phone: (301) 337-2295

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NPI Details

NUEVA VITA LLC is a family medicine in Silver Spring, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUEVA VITA LLC NPI is 1699341859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2415 MUSGROVE RD STE 302
SILVER SPRING, MD
ZIP 20904-202
Phone: (301) 337-2295
Fax: (301) 804-1752

The provider's authorized official is Maria A. Martin .
The authorized official title is Medical Doctor and has the following contact phone number (703) 626-5230.

The CLIA number assigned to this NPI record is 21D2247168 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 5/4/2023.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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