| Vitalx Health Llc | |
|
19001 Sw 106th Ave Unit C109 Cutler Bay FL 33157-7669 | |
| (305) 964-5425 | |
| (305) 964-5465 |
| Full Name | Vitalx Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 19001 Sw 106th Ave Unit C109, Cutler Bay, Florida |
| Authorized Official Name and Position | Vivian T Giraldo (OWNER) |
| Authorized Official Contact | 3054974007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalx Health Llc 19001 Sw 106th Ave Unit C109 Cutler Bay FL 33157-7669 Ph: (305) 964-5425 | Vitalx Health Llc 19001 Sw 106th Ave Unit C109 Cutler Bay FL 33157-7669 Ph: (305) 964-5425 |
| NPI Number | 1336836170 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 8729442595 |
|---|---|
| Medicare Enrollment ID | O20240625002063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336836170 | NPI | - | NPPES |
| Provider Name | Victor M Calvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023302908 PECOS PAC ID: 4587982384 Enrollment ID: I20150407001354 |
| Provider Name | Carmen R Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144855388 PECOS PAC ID: 4183046808 Enrollment ID: I20200625000045 |
| Provider Name | Vivian Tatiana Giraldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699436048 PECOS PAC ID: 0547624314 Enrollment ID: I20230912002626 |
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