| Vida Healthcare Networks Corp | |
|
11285 Sw 211th St Ste 305 Cutler Bay FL 33189-2213 | |
| (305) 218-9996 | |
| Not Available |
| Full Name | Vida Healthcare Networks Corp |
|---|---|
| Speciality | General Practice |
| Location | 11285 Sw 211th St Ste 305, Cutler Bay, Florida |
| Authorized Official Name and Position | Roberto Rodriguez (PRESIDENT) |
| Authorized Official Contact | 3052189996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Healthcare Networks Corp 11285 Sw 211th St Ste 305 Cutler Bay FL 33189-2213 Ph: (305) 305-2189 | Vida Healthcare Networks Corp 11285 Sw 211th St Ste 305 Cutler Bay FL 33189-2213 Ph: (305) 218-9996 |
| NPI Number | 1760125769 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Medicare PECOS PAC ID | 1557741303 |
|---|---|
| Medicare Enrollment ID | O20220711001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760125769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jesus C Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720004401 PECOS PAC ID: 9537111323 Enrollment ID: I20050221000561 |
| Provider Name | Maria Mojena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346695673 PECOS PAC ID: 2163789652 Enrollment ID: I20180301002493 |
| Provider Name | Azucena Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662392 PECOS PAC ID: 1254480064 Enrollment ID: I20191203000566 |
| Provider Name | Yenny Porrata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316453020 PECOS PAC ID: 5193824332 Enrollment ID: I20200519002277 |
| Provider Name | Maday Bello Lemus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386205789 PECOS PAC ID: 6002247327 Enrollment ID: I20200520001518 |
| Provider Name | Silvia L Trana-felipes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366588402 PECOS PAC ID: 6204285430 Enrollment ID: I20231213000314 |
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