Somos Vida Health Center, Llc
Psychiatry Physician in Hialeah, FL(View on Map)
Legal Business Name
Somos Vida Health Center, Llc
NPI Number
1699365569
NPI Type
Organization
Enumeration Date
01/24/2021
Specialties
(Taxonomies)Code
2084P0800X
207Q00000X
207VG0400X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
4910 E 2ND AVE
4910 E 2ND AVE
City
Hialeah
Hialeah
State
FL
FL
Postal Code
33013-1410
33013-1410
Country
US
US
Telephone Number
(954) 239-8860
(954) 239-8860
Authorized Official
Name
Yudith Pando
Title or Position
OWNER
Telephone Number
(954) 239-8860
Identifiers
Identifier
ME130127
Identifier State
FL
Identifier Issuer
MEDICAL LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/16/2024
Provider Address
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