VIDAMAX MEDICAL CENTER
NPI 1831915842
Clinic/Center in Miami, FL

Active since November 25, 2024
1127 NW 22ND AVE, MIAMI, FL 33125(786) 464-5120(786) 464-5125 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vidamax Medical Center NPPES

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

VIDAMAX MEDICAL CENTER (NPI 1831915842) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since November 2024. The organization lists Manuel D. Gonzalez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1831915842
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST JUDE MEDICAL GROUP CORP
Location Address1127 NW 22ND AVEMiami, FL 33125-2738
Mailing Address2141 Nw 7th StMiami, FL 33125-3483 · (786) 464-5120 · Fax (786) 464-5125
Fax(786) 464-5125
Organization SubpartNo
Authorized OfficialManuel D. GonzalezMedical Director · (786) 464-5120
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1831915842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1127 NW 22ND AVE, Miami, FL 33125

Other Names 1

Doing Business AsVidamax Medical Center

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
1127 NW 22ND AVE
MIAMI, FL 33125
Dentist (General Practice)
1127 NW 22ND AVE
MIAMI, FL 33125
Family Medicine
1127 NW 22ND AVE
MIAMI, FL 33125

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 St Jude Medical Group Corp's NPI number?

The NPI number for St Jude Medical Group Corp is 1831915842. It was assigned to this organization in the NPPES registry on November 25, 2024. The provider is doing business as Vidamax Medical Center.

Where is St Jude Medical Group Corp located?

St Jude Medical Group Corp is located at 1127 NW 22nd Ave, Miami, FL 33125. The listed phone number is (786) 464-5120.

What is St Jude Medical Group Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for St Jude Medical Group Corp was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.