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VIETRULIFE MEDICAL SPA CORP
NPI 1518673433
General Practice in Kissimmee, FL

Active since January 24, 2023
216 BROADWAY, KISSIMMEE, FL 34741(407) 910-4040 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Mar 17, 2023, Feb 1, 2023 and 1 more (4 updates tracked since 2023).

About Vietrulife Medical Spa Corp NPPES

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

VIETRULIFE MEDICAL SPA CORP (NPI 1518673433), doing business as Vietrulife Medical Spa, is a healthcare organization registered as a general practice in Kissimmee, Florida and active in the NPI registry since January 2023. The organization lists Angel Rivera, Cfo, as its authorized official.

NPPES Registry Identity

NPI1518673433
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVIETRULIFE MEDICAL SPA CORP
Location Address216 BROADWAYKissimmee, FL 34741-5768
Mailing Address3772 Eagle Isle CirKissimmee, FL 34746-1907 · (321) 333-2573
Phone(407) 910-4040
Organization SubpartNo
Authorized OfficialAngel RiveraCfo · (321) 333-2573
Enumeration DateJanuary 24, 2023
Last NPPES UpdateAugust 24, 20234 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1518673433 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
216 BROADWAY, Kissimmee, FL 34741
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Other Names 1

Former Legal Business NameVietrulife Medical Spa

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JENNIFER ROBLES
Case Manager/Care Coordinator
216 BROADWAY
KISSIMMEE, FL 34741
Osceola County (407) 910-4040
CARLOS CRUZ
Physical Medicine & Rehabilitation (Sports Medicine)
216 BROADWAY
KISSIMMEE, FL 34741
Osceola County (407) 910-4040

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 Vietrulife Medical Spa Corp's NPI number?

The NPI number for Vietrulife Medical Spa Corp is 1518673433. It was assigned to this organization in the NPPES registry on January 24, 2023. The provider was formerly known as Vietrulife Medical Spa.

Where is Vietrulife Medical Spa Corp located?

Vietrulife Medical Spa Corp is located at 216 Broadway, Kissimmee, FL 34741. The listed phone number is (407) 910-4040.

What is Vietrulife Medical Spa Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Vietrulife Medical Spa Corp was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.