| Pura Vida Medical Center, Llc | |
|
15529 Bull Run Rd Miami Lakes FL 33014-7004 | |
| (305) 328-8922 | |
| (786) 224-6489 |
| Full Name | Pura Vida Medical Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 15529 Bull Run Rd, Miami Lakes, Florida |
| Authorized Official Name and Position | Nury Carbajal (CEO) |
| Authorized Official Contact | 3058743909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pura Vida Medical Center, Llc 7925 Nw 12th St Ste 201 Doral FL 33126-1821 Ph: (305) 874-3909 | Pura Vida Medical Center, Llc 15529 Bull Run Rd Miami Lakes FL 33014-7004 Ph: (305) 328-8922 |
| NPI Number | 1124646898 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124646898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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