Provider Demographics
NPI:1043008501
Name:NEOVIDA MEDICENTER INC
Entity type:Organization
Organization Name:NEOVIDA MEDICENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARRIO MOREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-459-9945
Mailing Address - Street 1:18710 SW 107TH AVE UNIT 15
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6750
Mailing Address - Country:US
Mailing Address - Phone:786-459-9945
Mailing Address - Fax:786-798-8997
Practice Address - Street 1:18710 SW 107TH AVE UNIT 15
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6750
Practice Address - Country:US
Practice Address - Phone:786-459-9945
Practice Address - Fax:786-798-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health