Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC.
NPI 1417233222
Clinic/Center - Multi-Specialty in Hialeah, FL

Active since October 25, 2011CLIA 10D2030902 · Waiver
315 W 9TH ST FL 2, HIALEAH, FL 33010(786) 360-4528(786) 360-4529 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Oct 9, 2026, Jan 25, 2022 and 1 more (4 updates tracked since 2021).

About Professional Medical Services & Management Inc. NPPES

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

PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC. (NPI 1417233222), doing business as Vida Medical Centers, is a healthcare organization registered as a multi-specialty in Hialeah, Florida and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Sandy Lopez, President/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1417233222
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC.
Location Address315 W 9TH ST FL 2Hialeah, FL 33010-3853
Mailing Address14901 Nw 79 Ct, 2nd FloorMiami Lakes, FL 33016-5856 · (305) 269-7887 · Fax (786) 219-4300
Fax(786) 360-4529
Organization SubpartNo
Authorized OfficialSandy LopezPresident/ Ceo · (786) 360-4528
Enumeration DateOctober 25, 2011
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1417233222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
315 W 9TH ST FL 2, Hialeah, FL 33010

Other Names 1

Doing Business AsVida Medical Centers

Other Identifiers 2

OtherME51845FL · Medical License
Medicaid000645500FL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Medical Services & Management Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Professional Medical Services & Management Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1104441161
315 W 9TH ST
Hialeah, FL 33010
(786) 360-4528
✔ PECOSSame address
Nurse Practitioner
NPI 1447746441
315 W 9TH ST
Hialeah, FL 33010
(786) 703-1536
✔ PECOSSame address
Nurse Practitioner
NPI 1104330760
315 W 9TH ST
Hialeah, FL 33010
(786) 360-4528
✔ PECOSSame address
Internal Medicine
NPI 1447522438
20595 OLD CUTLER RD
Cutler Bay, FL 33189
(305) 823-3312
✔ PECOS18 mi

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 10D2030902

Professional Med Services & Management Inc · Hialeah, FL
Active · expires Oct 6, 2027
CLIA Number10D2030902
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorSandy Lopez
Laboratory Phone(786) 360-4528
Laboratory LocationProfessional Med Services & Management Inc315 W 9th St 2nd Fl, Hialeah, FL 33010
CLIA data matches this NPI record on: 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 Professional Medical Services & Management Inc.'s NPI number?

The NPI number for Professional Medical Services & Management Inc. is 1417233222. It was assigned to this organization in the NPPES registry on October 25, 2011. The provider is doing business as Vida Medical Centers.

Where is Professional Medical Services & Management Inc. located?

Professional Medical Services & Management Inc. is located at 315 W 9th St Fl 2, Hialeah, FL 33010. The listed phone number is (786) 360-4528.

What is Professional Medical Services & Management Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Professional Medical Services & Management Inc. enrolled in Medicare?

Yes. Professional Medical Services & Management Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Medical Services & Management Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Professional Medical Services & Management Inc.. 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. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Professional Medical Services & Management Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2030902) is associated with this NPI, valid through October 6, 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 Professional Medical Services & Management Inc. was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.