Provider Demographics
NPI:1346861226
Name:VEDADO HEALTH SOLUTIONS, INC
Entity Type:Organization
Organization Name:VEDADO HEALTH SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-468-0113
Mailing Address - Street 1:7901 HISPANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4152
Mailing Address - Country:US
Mailing Address - Phone:786-468-0113
Mailing Address - Fax:
Practice Address - Street 1:5190 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2476
Practice Address - Country:US
Practice Address - Phone:786-468-0113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty