Healthcare Provider Details

I. General information

NPI: 1437053261
Provider Name (Legal Business Name): VITAL BRIDGE CARE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10127 BOCA BND E APT 3B
BOCA RATON FL
33428-5467
US

IV. Provider business mailing address

10127 BOCA BND E APT 3B
BOCA RATON FL
33428-5467
US

V. Phone/Fax

Practice location:
  • Phone: 484-838-8991
  • Fax:
Mailing address:
  • Phone: 484-838-8991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. GILBERTO VELEZ RIVERA
Title or Position: CEO
Credential: MHA
Phone: 484-838-8991