Healthcare Provider Details

I. General information

NPI: 1700228723
Provider Name (Legal Business Name): VIDA MEDICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 W INDIANTOWN RD STE 102
JUPITER FL
33458-3905
US

IV. Provider business mailing address

1232 W INDIANTOWN RD STE 102
JUPITER FL
33458-3905
US

V. Phone/Fax

Practice location:
  • Phone: 561-744-1343
  • Fax: 561-744-1344
Mailing address:
  • Phone: 561-744-1343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME115384
License Number StateFL

VIII. Authorized Official

Name: JORGE L. CABRERA
Title or Position: OWNER
Credential: MD
Phone: 941-375-9444