# PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vida Medical Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417233222
- **Authorized official:** SANDY LOPEZ (PRESIDENT/ CEO)
- **Authorized official phone:** (786) 360-4528

## Contact information

- **Practice address:** 315 W 9TH ST FL 2, HIALEAH, FL 33010-3853
- **Practice address phone:** (786) 360-4528
- **Practice address fax:** (786) 360-4529
- **Mailing address:** 14901 NW 79 CT, 2ND FLOOR, MIAMI LAKES, FL 33016-5856
- **Mailing address phone:** (305) 269-7887
- **Mailing address fax:** (786) 219-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2011
- **Last updated:** 10/15/2026