Medivital Health Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDIVITAL HEALTH CENTER LLC

Practice address

10550 NW 77TH CT Ste 305
Hialeah, FL 33016-2071

Phone

(786) 782-7738

Fax

(833) 523-2326

NPI assigned

Apr 23, 2025

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adriana Baez

Title

Owner

Phone

(305) 764-9170

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel De la Cruz Seoane

  • Internal Medicine Physician
  • South Miami, FL
  • NPI 1427636380
  Medicare reassignment NPD
• Linnet Valle, DPT

  • Physical Therapist
  • Miami, FL
  • NPI 1730426750
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1528855343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 NW 78TH ST APT 424",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331786089",
            "telephone_number": "305-764-9170",
            "fax_number": "833-523-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162071",
            "telephone_number": "786-782-7738",
            "fax_number": "833-523-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVITAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-764-9170"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahiry Medina
• Yoanys Medina
• Medison Complete Health Care Co
• Mediterranea Pharmacy, Inc.
• Mediterranean Medical Supplies Inc
• Medlife Activity Center, LLC (Medlife Adult Activity Center II)
• Medlink Home Healthcare Services, Inc.
• Medplan Clinic, LLC
• Medplan Clinic, LLC
• Medpro CS, LLC

• Primary Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.