PURA VIDA MEDICAL CENTER, LLC
NPI 1124646898
General Practice in Miami Lakes, FL

Q: What is Pura Vida Medical Center, LLC's NPI number?

The NPI number for Pura Vida Medical Center, LLC is 1124646898. It was assigned to this organization in the NPPES registry on July 9, 2020. The provider was formerly known as Pura Vida Medical Center.

Q: What is Pura Vida Medical Center, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 09, 2020

15529 BULL RUN RD, MIAMI LAKES, FL 33014(305) 328-8922(786) 224-6489 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pura Vida Medical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURA VIDA MEDICAL CENTER, LLC (NPI 1124646898), doing business as Pura Vida Medical Center, is a healthcare organization registered as a general practice in Miami Lakes, Florida and active in the NPI registry since July 2020. The organization lists Nury Carbajal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124646898

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePURA VIDA MEDICAL CENTER, LLC

Location Address15529 BULL RUN RDMiami Lakes, FL 33014-7004

Mailing Address7925 Nw 12th St Ste 201Doral, FL 33126-1821 · (305) 874-3909 · Fax (305) 874-3916

Phone(305) 328-8922

Fax(786) 224-6489

Organization SubpartYes

Authorized OfficialNury CarbajalCeo · (305) 874-3909

Enumeration DateJuly 9, 2020

NPPES CertifiedJuly 9, 2020

✔ NPI 1124646898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

15529 BULL RUN RD, Miami Lakes, FL 33014

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Other Names 1

Former Legal Business NamePura Vida Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSUE LANDIN PEREZ ARNP

Nurse Practitioner (Family)