| Viva Clinical Services Inc | |
|
14 Ne 1st Ave 2nd Floor Miami FL 33132-2431 | |
| (305) 999-1063 | |
| (305) 999-1063 |
| Full Name | Viva Clinical Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Ne 1st Ave, Miami, Florida |
| Authorized Official Name and Position | Omayra Lizardo (VPST) |
| Authorized Official Contact | 3059991063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Clinical Services Inc 14 Ne 1st Ave 2nd Floor Miami FL 33132-2431 Ph: (305) 999-1063 | Viva Clinical Services Inc 14 Ne 1st Ave 2nd Floor Miami FL 33132-2431 Ph: (305) 999-1063 |
| NPI Number | 1124315759 |
|---|---|
| Provider Enumeration Date | 07/04/2011 |
| Last Update Date | 08/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124315759 | NPI | - | NPPES |
| 1023301298 | Other | FL | MEDICARE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW9141 (Florida) | Primary |
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