Organization
VISTAVERDE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIPSANDRA BLANCO CONSUEGRA (OWNER)
(786) 760-8737
Entity
Organization
Contact information
Practice address
8725 NW 18TH TER STE 403B, DORAL, FL 33172-2610
(786) 760-8737
Mailing address
8725 NW 18TH TER STE 403B, DORAL, FL 33172-2610
(786) 760-8737
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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