PROVIDA MEDICAL CENTER INC NPI 1821928847

NPI Information

  • NPI: 1821928847
  • Provider Name: PROVIDA MEDICAL CENTER INC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 428 NE 125TH ST
    NORTH MIAMI, FL
    ZIP 33161
  • Phone: (305) 602-5372

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NPI Details

PROVIDA MEDICAL CENTER INC is a geriatric medicine internal medicine in North Miami, FL. The provider is 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. PROVIDA MEDICAL CENTER INC NPI is 1821928847. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

428 NE 125TH ST
NORTH MIAMI, FL
ZIP 33161-717
Phone: (305) 602-5372

The provider's authorized official is Mario Sepulveda .
The authorized official title is Owner and has the following contact phone number (305) 602-5372.

The enumeration date for this NPI number is 5/21/2026 and was last updated on 5/21/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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