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Organization

MAS VIDA MEDICAL CENTER CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LETICIA MENES (OWNER)
(786) 587-3606
Entity
Organization

Contact information

Practice address
15190 SW 136TH ST STE 11, MIAMI, FL 33196-2618
(786) 587-3606
Mailing address
15190 SW 136TH ST STE 11, MIAMI, FL 33196-2618

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/22/2024
Last updated
08/07/2025
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