# VIDA WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326745746
- **Authorized official:** DR. ALBERTO C LEON FELIBERTI MD (PRESIDENT)
- **Authorized official phone:** (786) 216-5302

## Contact information

- **Practice address:** 1018 ASHFORD AVE., SUITE 1A, CONDADO, PR 00907
- **Practice address phone:** (787) 216-5302
- **Mailing address:** 1018 ASHFORD AVE., SUITE 1A, CONDADO, PR 00907
- **Mailing address phone:** (787) 216-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 02/15/2023