PURA VIDA MEDICAL CENTER LLC NPI 1922523604

NPI Information

NPI: 1922523604
Provider Name: PURA VIDA MEDICAL CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1738 W 49TH ST STE 7-12
HIALEAH, FL
ZIP 33012
Phone: (305) 698-8432
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PURA VIDA MEDICAL CENTER, LLC is a general practice in Hialeah, FL. PURA VIDA MEDICAL CENTER, LLC NPI is 1922523604. The provider is registered as an organization entity type.

The provider's business location address is:

1738 W 49TH ST STE 7-12
HIALEAH, FL
ZIP 33012-456
Phone: (305) 698-8432
Fax: (305) 698-8975

The provider's authorized official is Nury Carbajal .
The authorized official title is Owner and has the following contact phone number (305) 874-3909.

The enumeration date for this NPI number is 8/3/2017 and was last updated on 6/24/2020.

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	261QP2300X	Clinic/Center	Primary Care			No
2	208D00000X	General Practice				Yes

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: 11/14/2023

NPI Synchronization or Removal

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