South Medical Center Group Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTH MEDICAL CENTER GROUP CORP

Practice address

12485 SW 137TH Ave Ste 204
Miami, FL 33186-4217

Phone

(305) 614-1266

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Josue Acosta

Title

President

Phone

(954) 274-5566

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diamina Molina Vidal, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sweetwater, FL
  • NPI 1861970428

  Single Specialty

  Medicare reassignment NPD
• Sudeep Singh, M.D.

  • Family Medicine Physician
  • Miami Beach, FL
  • NPI 1104173210
  Medicare reassignment

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1740814458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864217",
            "telephone_number": "305-614-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864217",
            "telephone_number": "305-614-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MEDICAL CENTER GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-274-5566"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Kendall Home Care, LLC
• South Kendall Medical Services, Inc
• South Labs LLC
• South Med Supplies Corp
• South Medical Care Inc
• South Medical Center, Inc
• South Medical Laboratory Corp.
• South Medical Supply Inc
• South Miami ASC, LLC
• South Miami Dental Services PA

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.