# PURA VIDA MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PURA VIDA MEDICAL CENTER, LLC
- **Other names:** Pura Vida Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124646898
- **Legal business name:** PURA VIDA MEDICAL CENTER, LLC
- **Authorized official:** MISS NURY CARBAJAL (CEO)
- **Authorized official phone:** (305) 874-3909

## Contact information

- **Practice address:** 15529 BULL RUN RD, MIAMI LAKES, FL 33014-7004
- **Practice address phone:** (305) 328-8922
- **Practice address fax:** (786) 224-6489
- **Mailing address:** 7925 NW 12TH ST STE 201, DORAL, FL 33126-1821
- **Mailing address phone:** (305) 874-3909
- **Mailing address fax:** (305) 874-3916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2020
- **Last updated:** 07/09/2020