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REVITA MEDICAL CENTER LLC
NPI 1811723869
Family Medicine - Adult Medicine in Homestead, FL

Active since September 09, 2024
724 S KROME AVE, HOMESTEAD, FL 33030(786) 922-6393 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2025, Sep 23, 2024, Sep 9, 2024 (3 updates tracked since 2024).

About Revita Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITA MEDICAL CENTER LLC (NPI 1811723869) is a healthcare organization registered as an adult medicine in Homestead, Florida and active in the NPI registry since September 2024. The organization lists Diego Ferreira, Manager, as its authorized official.

NPPES Registry Identity

NPI1811723869
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameREVITA MEDICAL CENTER LLC
Location Address724 S KROME AVEHomestead, FL 33030-7264
Mailing Address724 S Krome AveHomestead, FL 33030-7264 · (786) 339-8248
Phone(786) 922-6393
Organization SubpartNo
Authorized OfficialDiego FerreiraManager · (786) 339-8248
Enumeration DateSeptember 9, 2024
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1811723869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
724 S KROME AVE, Homestead, FL 33030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revita Medical Center LLC's NPI number?

The NPI number for Revita Medical Center LLC is 1811723869. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Revita Medical Center LLC located?

Revita Medical Center LLC is located at 724 S Krome Ave, Homestead, FL 33030. The listed phone number is (786) 922-6393.

What is Revita Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Revita Medical Center LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.