Organization
VYTALYZE MINDS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO LEON HERRERA (P)
(305) 363-4001
Entity
Organization
Contact information
Practice address
2300 W 84TH ST STE 601, HIALEAH, FL 33016-5780
(305) 363-4001
(305) 363-4002
Mailing address
2300 W 84TH ST STE 601, MIAMI LAKES, FL 33016-5780
(305) 363-4001
(305) 363-4002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107794500
—
FL
01
—
12488
AHCA
FL
01
—
672191
JCAHO
FL
Enumeration date
08/16/2020
Last updated
02/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us