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CONVIVA CARE CENTER
NPI 1265614754
Internal Medicine in Miami, FL

Active since November 27, 2007CLIA Certified · 2 labs
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126(305) 662-5200(305) 284-7948 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2020, Jul 3, 2019, Jan 21, 2019 and 2 more (5 updates tracked since 2018).

About Conviva Care Center NPPES

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

CONVIVA CARE CENTER (NPI 1265614754) is a healthcare organization registered as an internal medicine in Miami, Florida and active in the NPI registry since November 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in West Palm Beach, and lists Gemma Rosello, Vp, as its authorized official.

NPPES Registry Identity

NPI1265614754
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC
Location Address6101 BLUE LAGOON DR STE 400Miami, FL 33126-2051
Mailing Address6101 Blue Lagoon Dr Ste 400Miami, FL 33126-2051 · (305) 500-2000
Phone(305) 662-5200
Fax(305) 284-7948
Organization SubpartYes
Authorized OfficialGemma RoselloVp · (305) 500-2000
Enumeration DateNovember 27, 2007
Last NPPES UpdateFebruary 3, 20205 updates tracked since enumeration
✔ NPI 1265614754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6101 BLUE LAGOON DR STE 400, Miami, FL 33126
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Other Names 1

Doing Business AsConviva Care Center

Secondary Practice Location 1

Location 11651 S Congress AveWest Palm Beach, FL 33406-5903 · Phone (561) 966-1000

Other Identifiers 4

Medicaid012616300FL
Medicaid012616302FL
Medicaid012616301FL
Medicaid012616303FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D0706207

Conviva Medical Center Management, LLC Dba Conviva Care Center · West Palm Beach, FL
Active · expires Aug 31, 2026
CLIA Number10D0706207
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCarlos Vazquez-Santiago
Laboratory Phone(561) 966-1000
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center1651 South Congress Avenue, West Palm Beach, FL 33406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2207711

Conviva Medical Center Management LLC Dba Conviva Care Center · West Palm Beach, FL
Active · expires Dec 29, 2026
CLIA Number10D2207711
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorRobert E. Tome
Laboratory Phone(561) 967-5350
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center1490 Forest Hill Blvd, West Palm Beach, FL 33406
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ALFREDO GINORY M.D.
Pediatrics
6101 BLUE LAGOON DR STE 400
MIAMI, FL 33126
Miami-Dade County (305) 642-0590
RMA MEDICAL CENTERS OF FLORIDA LLC
Internal Medicine
6101 BLUE LAGOON DR STE 400
MIAMI, FL 33126
Miami-Dade County (305) 500-2000
PARTNERS IN INTEGRATED CARE, INC.
Internal Medicine (Cardiovascular Disease)
6101 BLUE LAGOON DR STE 400
MIAMI, FL 33126
Miami-Dade County (305) 500-2114
ASHLEY WILLIAMS
Pharmacist
6101 BLUE LAGOON DR STE 400
MIAMI, FL 33126
Miami-Dade County (954) 250-7247

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 Primary Care Specialists Of The Palm Beaches LLC's NPI number?

The NPI number for Primary Care Specialists Of The Palm Beaches LLC is 1265614754. It was assigned to this organization in the NPPES registry on November 27, 2007. The provider is doing business as Conviva Care Center.

Where is Primary Care Specialists Of The Palm Beaches LLC located?

Primary Care Specialists Of The Palm Beaches LLC is located at 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126. The listed phone number is (305) 662-5200.

What is Primary Care Specialists Of The Palm Beaches LLC's specialty?

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

Does Primary Care Specialists Of The Palm Beaches LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Primary Care Specialists Of The Palm Beaches LLC accept?

Health plans from AvMed list Primary Care Specialists Of The Palm Beaches LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primary Care Specialists Of The Palm Beaches LLC was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.