Healthcare Provider Details

I. General information

NPI: 1063391431
Provider Name (Legal Business Name): VIVA HOPE & HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5245 NW 36TH ST STE 209
MIAMI SPRINGS FL
33166-5959
US

IV. Provider business mailing address

5245 NW 36TH ST STE 209
MIAMI SPRINGS FL
33166-5959
US

V. Phone/Fax

Practice location:
  • Phone: 786-453-6812
  • Fax: 786-453-6932
Mailing address:
  • Phone: 786-453-6812
  • Fax: 786-453-6932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIAS ALVAREZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-846-6987