VIDALIFE MEDICAL SERVICE CENTER CORP
NPI 1255907929
Clinic/Center - Primary Care in Miami, FL
About Vidalife Medical Service Center Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIDALIFE MEDICAL SERVICE CENTER CORP (NPI 1255907929) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Cesar Bringas, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vidalife Medical Service Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vidalife Medical Service Center Corp, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2232690
Vidalife Medical Service Center Corp · Miami, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vidalife Medical Service Center Corp's NPI number?
The NPI number for Vidalife Medical Service Center Corp is 1255907929. It was assigned to this organization in the NPPES registry on June 2, 2021.
Where is Vidalife Medical Service Center Corp located?
Vidalife Medical Service Center Corp is located at 1380 NE Miami Gardens Dr Ste 130, Miami, FL 33179. The listed phone number is (305) 956-7755.
What is Vidalife Medical Service Center Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vidalife Medical Service Center Corp enrolled in Medicare?
Yes. Vidalife Medical Service Center Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vidalife Medical Service Center Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vidalife Medical Service Center Corp, in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vidalife Medical Service Center Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2232690) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vidalife Medical Service Center Corp was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vidalife Medical Service Center Corp · NPI 1255907929
Primary Care organization in Miami, Florida. Organization record, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1255907929 (Entity type: Organization)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Cesar Bringas, PRESIDENT
## Practice location
- **Address:** 1380 NE MIAMI GARDENS DR STE 130, Miami, FL 33179-4744
- **Phone:** (305) 956-7755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1255907929) · Data from the CMS NPPES public registry.