La Vie Medical Center LLC
Clinic/Center, Primary Care in Hialeah, FL. Organization (NPI-2).
NPI number1528958352
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1528958352
- Entity type
- Organization (NPI-2)
- Legal business name
- La Vie Medical Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 3, 2025
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QR1100X | Clinic/Center, Research | – | – |
Practice location
18590 Nw 67th Ave Ste 200-200aHialeah, FL 33015-3460
Phone 305-914-2883 · Fax 305-914-6269
Mailing address
18112 Nw 91st CtHialeah, FL 33018-6544
Phone 305-914-2883 · Fax 305-914-6269
Authorized official
Idania Teresa Garcia Del Sol
Owner
7865109157
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