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CONVIVA MEDICAL CENTER MANAGEMENT LLC
NPI 1336713676
Internal Medicine in North Miami, FL

Active since May 19, 2021CLIA 10D2101999 · Waiver
12615 W DIXIE HWY, NORTH MIAMI, FL 33161(305) 777-3554 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, May 22, 2025, May 19, 2021 (3 updates tracked since 2021).

About Conviva Medical Center Management Llc NPPES

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

CONVIVA MEDICAL CENTER MANAGEMENT LLC (NPI 1336713676) is a healthcare organization registered as an internal medicine in North Miami, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1336713676
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address12615 W DIXIE HWYNorth Miami, FL 33161-4803
Mailing Address6101 Blue Lagoon Dr Ste 400Miami, FL 33126-2051 · (305) 500-2000
Phone(305) 777-3554
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateMay 19, 2021
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1336713676 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
12615 W DIXIE HWY, North Miami, FL 33161
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Other Names 1

Other NameConviva Callahan

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 10D2101999

Conviva Medical Center Management LLC Dba Conviva Senior Primary Care · North Miami, FL
Active · expires Sep 14, 2027
CLIA Number10D2101999
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorJorge C. Perez
Laboratory Phone(305) 777-3554
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Senior Primary Care12615 W Dixie Highway, North Miami, FL 33161
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 8

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

LHA SMILES DESIGN, INC
Clinic/Center (Dental)
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (786) 228-8295
MARIE YOLETTE CELOGE M.D.
General Practice
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (305) 777-3554
SAMSON SAINT FLEUR
Physician Assistant
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (305) 777-3554
RODOLFO DUMENIGO MD PA
General Practice
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (305) 534-0076
MIAMI BEACH MEDICAL CONSULTANTS, LLC.
General Practice
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (305) 534-0076
JUAN RAFAEL ALVAREZ ARNP
Nurse Practitioner (Family)
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (305) 777-3554
FURNARI AND LOFTON GENERAL PARTNERSHIP
Optometrist
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (305) 777-3554
YUNIOR Y SILVA BARRERO MD
General Practice
12615 W DIXIE HWY
NORTH MIAMI, FL 33161
Miami-Dade County (305) 777-3554

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 1336713676. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is also known as Conviva Callahan.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 12615 W Dixie Hwy, North Miami, FL 33161. The listed phone number is (305) 777-3554.

What is Conviva Medical Center Management LLC's specialty?

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

Does Conviva Medical Center Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2101999) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conviva Medical Center Management LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.