Provider Demographics
NPI:1194839431
Name:ALEJANDRINA S. VELA DBA VIDA HEALTH CARE
Entity Type:Organization
Organization Name:ALEJANDRINA S. VELA DBA VIDA HEALTH CARE
Other - Org Name:VIDA HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEJANDRINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-316-0153
Mailing Address - Street 1:2024 W UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-2832
Mailing Address - Country:US
Mailing Address - Phone:956-316-0153
Mailing Address - Fax:956-316-0156
Practice Address - Street 1:2024 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-2832
Practice Address - Country:US
Practice Address - Phone:956-316-0153
Practice Address - Fax:956-316-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117460261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care