Organization
VIDA HEALTHCARE NETWORKS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO RODRIGUEZ (PRESIDENT)
(305) 218-9996
Entity
Organization
Contact information
Practice address
11285 SW 211TH ST STE 305, CUTLER BAY, FL 33189-2213
(305) 218-9996
Mailing address
11285 SW 211TH ST STE 305, CUTLER BAY, FL 33189-2213
(305) 305-2189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
07/25/2022
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