VIDALIFE MEDICAL SERVICE CENTER CORP
NPI 1255907929
Clinic/Center - Primary Care in Miami, FL

Active since June 02, 2021CLIA 10D2232690 · Waiver
1380 NE MIAMI GARDENS DR STE 130, MIAMI, FL 33179(305) 956-7755 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2022, Jun 2, 2021 (2 updates tracked since 2021).

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

NPI1255907929
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVIDALIFE MEDICAL SERVICE CENTER CORP
Location Address1380 NE MIAMI GARDENS DR STE 130Miami, FL 33179-4744
Mailing Address1380 Ne Miami Gardens Dr Ste 130Miami, FL 33179-4744 · (305) 956-7755
Organization SubpartNo
Authorized OfficialCesar BringasPresident · (305) 956-7755
Enumeration DateJune 2, 2021
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
NPI 1255907929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1380 NE MIAMI GARDENS DR STE 130, Miami, FL 33179

Accepted Insurance

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, FL
Active · expires Aug 16, 2027
CLIA Number10D2232690
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorJulio M. De Pena
Laboratory Phone(305) 956-7755
Laboratory LocationVidalife Medical Service Center Corp1380 NE Miami Gardens Drive #130, Miami, FL 33179
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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.

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.

What insurance does Vidalife Medical Service Center Corp accept?

Health plans from Wellpoint list Vidalife Medical Service Center Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 with the weekly NPPES data releases published by CMS.