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

Miami Vip Medical Corp

Organization Clinic/Center · NPI 1396420782

Miami Vip Medical Corp is a Clinic/Center in Hialeah, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4355 W 16th Ave Ste 205B
Hialeah, FL 33012-7668
Phone: (786) 953-4111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1396420782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aideni Gonzalez — Physician Assistant / Img · (305) 587-5587
NPI enumeratedJune 21, 2023
Last updated in NPPESMay 2, 2026
Certification dateMay 2, 2026
Mailing address4355 W 16th Ave Ste 205b, Hialeah, FL 33012-7668

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