| Vitas Medical Center Inc | |
|
5040 Nw 7th St Ste 750 Miami FL 33126-3490 | |
| (786) 359-4013 | |
| (786) 547-5205 |
| Full Name | Vitas Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5040 Nw 7th St Ste 750, Miami, Florida |
| Authorized Official Name and Position | Yosdani Rodriguez (OWNER) |
| Authorized Official Contact | 7863500322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitas Medical Center Inc 5040 Nw 7th St Ste 750 Miami FL 33126-3490 Ph: (786) 359-4013 | Vitas Medical Center Inc 5040 Nw 7th St Ste 750 Miami FL 33126-3490 Ph: (786) 359-4013 |
| NPI Number | 1992403562 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 9335500677 |
|---|---|
| Medicare Enrollment ID | O20230802002015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992403562 | NPI | - | NPPES |
| 117215700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ana M Villaverde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447411558 PECOS PAC ID: 0547321515 Enrollment ID: I20081209000515 |
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