PURA VIDA MEDICAL CENTER, LLC – NPI #1124646898
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

PURA VIDA MEDICAL CENTER, LLC is a provider located in MIAMI LAKES, FL. NPPES has assigned the NPI number 1124646898 to PURA VIDA MEDICAL CENTER, LLC on July 09, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PURA VIDA MEDICAL CENTER, LLC below.

NPI Profile for
PURA VIDA MEDICAL CENTER, LLC

NPI Number
1124646898
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PURA VIDA MEDICAL CENTER, LLC
Primary location
15529 BULL RUN RD
MIAMI LAKES, FL 33014-7004
Phone: (305) 328-8922 Fax: (786) 224-6489
Mailing address
7925 NW 12TH ST STE 201
DORAL, FL 33126-1821
Phone: (305) 874-3909 Fax: (305) 874-3916
Organization Subpart
Yes - PURA VIDA MEDICAL CENTER, LLC is subpart of another organization.
Authorized Official
NURY CARBAJAL
CEO
Phone: (305) 874-3909
Updated
Certification Date
Jul 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.