Healthcare Provider Details

I. General information

NPI: 1659171122
Provider Name (Legal Business Name): VITALMIND PSYCHIATRY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 SW 19TH TER
MIAMI FL
33145-1930
US

IV. Provider business mailing address

2740 SW 19TH TER
MIAMI FL
33145-1930
US

V. Phone/Fax

Practice location:
  • Phone: 561-525-6349
  • Fax:
Mailing address:
  • Phone: 561-525-6349
  • Fax: 305-906-7491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DENNIS REJAS CABRERA
Title or Position: CEO/OWNER
Credential:
Phone: 786-318-1778