Organization

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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