Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provida Medical Center Inc

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1821928847

Provida Medical Center Inc provides Geriatric Medicine (Internal Medicine) Physician services in North Miami, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

428 NE 125th St
North Miami, FL 33161-4717
Phone: (305) 602-5372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1821928847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Sepulveda — Owner · (305) 602-5372
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address428 Ne 125th St, North Miami, FL 33161-4717

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