Healthcare Provider Details

I. General information

NPI: 1811813967
Provider Name (Legal Business Name): VITALRIDE MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 W 22ND ST
HIALEAH FL
33010-1444
US

IV. Provider business mailing address

12610 SW 72ND TER
MIAMI FL
33183-3535
US

V. Phone/Fax

Practice location:
  • Phone: 305-439-4877
  • Fax:
Mailing address:
  • Phone: 305-439-4877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MIRELYS VALDES
Title or Position: PRESIDENT
Credential:
Phone: 305-439-4877