Healthcare Provider Details

I. General information

NPI: 1043008501
Provider Name (Legal Business Name): NEOVIDA MEDICENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18710 SW 107TH AVE UNIT 15
CUTLER BAY FL
33157-6750
US

IV. Provider business mailing address

18710 SW 107TH AVE UNIT 15
CUTLER BAY FL
33157-6750
US

V. Phone/Fax

Practice location:
  • Phone: 786-459-9945
  • Fax: 786-798-8997
Mailing address:
  • Phone: 786-459-9945
  • Fax: 786-798-8997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARIAN J BARRIO MOREIRA
Title or Position: PRESIDENT
Credential:
Phone: 786-459-9945