Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manantial De Vida Nueva Inc

Organization Clinic/Center · NPI 1174816763

Manantial De Vida Nueva Inc is a Clinic/Center in Miami, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13255 SW 137th Ave Ste 100
Miami, FL 33186-5326
Phone: (305) 233-8055
Fax: (786) 573-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence HCC8847 (FL)

Record details

NPI number1174816763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariulis Rodriguez — President · (305) 233-8055
NPI enumeratedMay 16, 2011
Last updated in NPPESMay 16, 2011
Mailing address13255 Sw 137th Ave, Ste. 100, Miami, FL 33186-5326

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