Provider Demographics
NPI:1013338391
Name:VIVA HEALTHCARE MANAGEMENT SYSTEMS,LLC
Entity Type:Organization
Organization Name:VIVA HEALTHCARE MANAGEMENT SYSTEMS,LLC
Other - Org Name:VIVA HEALTHCARE MANAGEMENT SYSTEMS,LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-828-8877
Mailing Address - Street 1:14329 COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1502
Mailing Address - Country:US
Mailing Address - Phone:305-828-8877
Mailing Address - Fax:
Practice Address - Street 1:14329 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-828-8877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty