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Miami Vip Medical Corp

NPI 1396420782ActiveOrganization· Physician Assistant· Hialeah, FL

Physician Assistant in Hialeah, Florida, registered in NPPES in June 2023. The authorized official on file is Aideni Gonzalez, P.A., Physician Assistant / Img.

Overview

NPI1396420782
StatusActive
Entity typeOrganization
NPI issuedJun 21, 2023
Last updated in NPPESMay 2, 2026
Certified by providerMay 2, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——
Clinic/Center261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physician assistants in Hialeah

All 56 physician assistants in Hialeah · All physician assistants in Florida