| Vital Healthcare Group | |
|
10201 Hammocks Blvd Ste 122 Miami FL 33196-3783 | |
| (786) 701-8702 | |
| (305) 397-2669 |
| Full Name | Vital Healthcare Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 10201 Hammocks Blvd Ste 122, Miami, Florida |
| Authorized Official Name and Position | Gregorio Contreras Rodriguez (OWNER) |
| Authorized Official Contact | 7866427445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Healthcare Group 10201 Hammocks Blvd Ste 122 Miami FL 33196-3783 Ph: (305) 541-9709 | Vital Healthcare Group 10201 Hammocks Blvd Ste 122 Miami FL 33196-3783 Ph: (786) 701-8702 |
| NPI Number | 1275281461 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 09/28/2026 |
| Certification Date | 09/28/2026 |
| Medicare PECOS PAC ID | 8426430240 |
|---|---|
| Medicare Enrollment ID | O20220726003234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275281461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Amanda Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477762839 PECOS PAC ID: 6305994963 Enrollment ID: I20090508000267 |
| Provider Name | Graciela Roque Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689025033 PECOS PAC ID: 4587089040 Enrollment ID: I20200731001186 |
| Provider Name | Heidy Aguila Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962273342 PECOS PAC ID: 7214376888 Enrollment ID: I20240415004157 |
| Provider Name | Bernardo Lamere Del Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336958255 PECOS PAC ID: 1850800228 Enrollment ID: I20250605001876 |
| Provider Name | Yamile Veiga Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144030610 PECOS PAC ID: 0446755805 Enrollment ID: I20250925003558 |
| Provider Name | Christian Perez-quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477353233 PECOS PAC ID: 1153827902 Enrollment ID: I20251001001722 |
| Provider Name | Jose Luis Hernandez Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891526679 PECOS PAC ID: 7810419231 Enrollment ID: I20260310003577 |
| Provider Name | Ana Ivis Perez De Alejo Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538021308 PECOS PAC ID: 1951873181 Enrollment ID: I20260618000871 |
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