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 is a Geriatric Medicine (Internal Medicine) Physician 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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