CONVIVA QUAIL ROOST
NPI 1215510896
Internal Medicine in Cutler Bay, FL

Active since May 03, 2021
18623 S DIXIE HWY, CUTLER BAY, FL 33157(305) 238-9111(305) 256-6130 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, May 3, 2021 (2 updates tracked since 2021).

About Conviva Quail Roost NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVIVA QUAIL ROOST (NPI 1215510896) is a healthcare organization registered as an internal medicine in Cutler Bay, Florida and active in the NPI registry since May 2021. The organization lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1215510896
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address18623 S DIXIE HWYCutler Bay, FL 33157-6804
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(305) 256-6130
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateMay 3, 2021
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1215510896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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 medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
18623 S DIXIE HWY, Cutler Bay, FL 33157

Other Names 1

Other NameConviva Quail Roost

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1028732

Conviva Medical Center Management, LLC Dba Conviva Care Center · Cutler Bay, FL
Expired · Aug 1, 2026
CLIA Number10D1028732
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorRicardo Martinez
Laboratory Phone(305) 238-9111
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center18623 S Dixie Hwy, Cutler Bay, FL 33157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
18623 S DIXIE HWY
CUTLER BAY, FL 33157
Nurse Practitioner (Family)
18623 S DIXIE HWY
CUTLER BAY, FL 33157
General Practice
18623 S DIXIE HWY
CUTLER BAY, FL 33157
Podiatrist (Foot & Ankle Surgery)
18623 S DIXIE HWY
CUTLER BAY, FL 33157
Pharmacy (Community/Retail Pharmacy)
18623 S DIXIE HWY
CUTLER BAY, FL 33157
Registered Nurse
18623 S DIXIE HWY
CUTLER BAY, FL 33157
Pharmacist
18623 S DIXIE HWY
CUTLER BAY, FL 33157
Pharmacist
18623 S DIXIE HWY
CUTLER BAY, FL 33157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conviva Medical Center Management LLC's NPI number?

The NPI number for Conviva Medical Center Management LLC is 1215510896. It was assigned to this organization in the NPPES registry on May 3, 2021. The provider is also known as Conviva Quail Roost.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 18623 S Dixie Hwy, Cutler Bay, FL 33157. The listed phone number is (305) 238-9111.

What is Conviva Medical Center Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Conviva Medical Center Management LLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.