MEDICARE: VIVA HOPE & HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084N0400X	Neurology Physician
2	208D00000X	General Practice Physician
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1063391431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVA HOPE & HEALTH, LLC

Provider Business Mailing Address
First Line	:	8975 NW 112TH ST
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4575
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 NW 36TH ST STE 209
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5923
Country	:	US
Telephone Number	:	305-846-6987
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ELIAS ALVAREZ
Credential	:
Telephone Number	:	305-846-6987

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	08/29/2025

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Directions to “VIVA HOPE & HEALTH, LLC ” Practice Location

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