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PROVIDA MEDICAL CENTER INC
NPI 1821928847
Internal Medicine - Geriatric Medicine in North Miami, FL

Active since May 21, 2026
428 NE 125TH ST, NORTH MIAMI, FL 33161(305) 602-5372 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provida Medical Center Inc NPPES

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

PROVIDA MEDICAL CENTER INC (NPI 1821928847) is a healthcare organization registered as a geriatric medicine in North Miami, Florida and active in the NPI registry since May 2026. The organization lists Mario Sepulveda, Owner, as its authorized official.

NPPES Registry Identity

NPI1821928847
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePROVIDA MEDICAL CENTER INC
Location Address428 NE 125TH STNorth Miami, FL 33161-4717
Mailing Address428 Ne 125th StNorth Miami, FL 33161-4717 · (305) 602-5372
Phone(305) 602-5372
Organization SubpartNo
Authorized OfficialMario SepulvedaOwner · (305) 602-5372
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1821928847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
428 NE 125TH ST, North Miami, FL 33161
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINAIDA MEMBRIBES DIAZ APRN
Nurse Practitioner (Family)
428 NE 125TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (305) 602-5372
GREENMED SENIOR MEDICAL CENTERS LLC
Clinic/Center
428 NE 125TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (305) 895-9551
CLINICA LAS MERCEDES, LLC
Internal Medicine (Geriatric Medicine)
428 NE 125TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (305) 570-0012
LIRIAN DEL CARMEN LEYVA REYES MD
General Practice
428 NE 125TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (305) 570-0012
HEALTHMAX LLC
Clinic/Center
428 NE 125TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (305) 895-9551

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 Provida Medical Center Inc's NPI number?

The NPI number for Provida Medical Center Inc is 1821928847. It was assigned to this organization in the NPPES registry on May 21, 2026.

Where is Provida Medical Center Inc located?

Provida Medical Center Inc is located at 428 NE 125th St, North Miami, FL 33161. The listed phone number is (305) 602-5372.

What is Provida Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Provida Medical Center Inc was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.