Organization · Type 2 NPI

Centerwell Senior Primary Care NV P C

Internal Medicine Physician · Miami, FL

NPI number 1104449560 Active

Practice location

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician Primary	207R00000X	None listed
Interventional Cardiology Physician	207RI0011X	None listed
General Practice Physician	208D00000X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

18 other providers at this address

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NPI record

NPI: 1104449560
Entity type: Organization (Type 2)
Issued: May 20, 2020
Last updated: Dec 16, 2025
Status: Active
Subpart: Yes of Centerwell Senior Primary Care NV P C

Other names

<unavail>
Partners In Primary Care (nv) PC · former legal business name
Partners In Primary Care (nv) PC · former legal business name
Centerwell Senior Primary Care (nv) PC · other name

Authorized official

Angie Martinez
Senior Credentialing Professional
(407) 447-7120

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104449560

Centerwell Senior Primary Care NV P C's National Provider Identifier is 1104449560, issued on May 20, 2020. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Miami, FL. The record was last updated on Dec 16, 2025.