Provida Medical Center Inc

LBN: Provida Medical Center Inc
Provida Medical Center Inc is an health care organization with primary practice located at 428 Ne 125Th St , North Miami FL 33161-4717. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Provida Medical Center Inc can be contacted via phone (305) 602-5372, or through Sepulveda, Mario via phone (305) 602-5372.

Contact Information

Primary practice address
428 Ne 125Th St North Miami FL 33161-4717
Phone: (305) 602-5372
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sepulveda, Mario
Phone: (305) 602-5372

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1821928847
LBN Legal business name Provida Medical Center Inc
DBA Doing business as
Authorized official Sepulveda, Mario
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2026
Last updated May 21st, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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