| Vida Medical Centers | |
|
139 N Redland Rd Ste 5 Florida City FL 33034-3105 | |
| (786) 628-8656 | |
| (786) 650-2968 |
| Full Name | Vida Medical Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 139 N Redland Rd Ste 5, Florida City, Florida |
| Authorized Official Name and Position | Sandy Lopez (PRESIDENT) |
| Authorized Official Contact | 7866288656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Medical Centers 14901 Nw 79 Ct 2nd Floor Miami Lakes FL 33016-5856 Ph: (305) 269-7887 | Vida Medical Centers 139 N Redland Rd Ste 5 Florida City FL 33034-3105 Ph: (786) 628-8656 |
| NPI Number | 1740865039 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 10/15/2026 |
| Certification Date | 10/15/2026 |
| Medicare PECOS PAC ID | 4385038769 |
|---|---|
| Medicare Enrollment ID | O20220301000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740865039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 208D00000X | General Practice | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
| Provider Name | Jesus a Serret Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508306788 PECOS PAC ID: 6507231156 Enrollment ID: I20230412001966 |
| Provider Name | Mario Guerrero Paneque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285013847 PECOS PAC ID: 4688033103 Enrollment ID: I20230630002498 |
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