| Vive Med Center | |
|
5801 Nw 151st St Ste 106 Miami Lakes FL 33014-2437 | |
| (305) 640-8393 | |
| (305) 639-8314 |
| Full Name | Vive Med Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 5801 Nw 151st St Ste 106, Miami Lakes, Florida |
| Authorized Official Name and Position | Yusley Couceiro (MGRM) |
| Authorized Official Contact | 3056408393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vive Med Center 5801 Nw 151st St Ste 106 Miami Lakes FL 33014-2437 Ph: (305) 951-8639 | Vive Med Center 5801 Nw 151st St Ste 106 Miami Lakes FL 33014-2437 Ph: (305) 640-8393 |
| NPI Number | 1356943609 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 12/14/2021 |
| Medicare PECOS PAC ID | 2264845155 |
|---|---|
| Medicare Enrollment ID | O20210114001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356943609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Nayle Araguez Ancares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770821993 PECOS PAC ID: 8123252517 Enrollment ID: I20131018001151 |
| Provider Name | Yusley Couceiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841785565 PECOS PAC ID: 4789097684 Enrollment ID: I20210115000060 |
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