1. Home
  2. Directory
  3. Florida
  4. Miami Beach
  5. Family Medicine
  6. NPI Profile

CONVIVA MEDICAL CENTER MANAGEMENT LLC
NPI 1467250407
Family Medicine in Miami Beach, FL

Active since March 05, 2025CLIA 10D0940831 · Waiver
1200 ALTON RD, MIAMI BEACH, FL 33139(305) 534-3242 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1467250407) is a healthcare organization registered as a family medicine in Miami Beach, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Megan Galvan, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1467250407
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address1200 ALTON RDMiami Beach, FL 33139-3810
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(305) 534-3242
Organization SubpartYes
Authorized OfficialMegan GalvanCredentialing Manager · (305) 500-2000
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1467250407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1200 ALTON RD, Miami Beach, FL 33139
Open in Google Maps ↗

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 10D0940831

Conviva Medical Center Management LLC Dba Conviva Senior Primary Care · Miami Beach, FL
Active · expires Feb 17, 2028
CLIA Number10D0940831
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorJorge C. Perez
Laboratory Phone(305) 534-3242
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Senior Primary Care1200 Alton Rd, Miami Beach, FL 33139
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 20

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

RODOLFO DUMENIGO M.D.
Internal Medicine
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 534-0076
MR. CARLOS DAVID CASTANEDA I PA-C
Physician Assistant
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 534-3242
GISELMI GONZALEZ
Massage Therapist
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 534-0076
FURNARI AND LOFTON GENERAL PARTNERSHIP
Optometrist
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 534-3242
LHA SMILES DESIGN, INC
Clinic/Center (Dental)
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 534-0076
DR. FABIAN FONTAINE FIGUEREDO M.D.
Family Medicine
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 534-0076
ASOLUTIONS LLC
Pharmacy
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 672-2556
EMILIO MANTERO-ATIENZA MD PA
Psychiatry & Neurology (Psychiatry)
1200 ALTON RD
MIAMI BEACH, FL 33139
Miami-Dade County (305) 326-0776

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 1467250407. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 1200 Alton Rd, Miami Beach, FL 33139. The listed phone number is (305) 534-3242.

What is Conviva Medical Center Management LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 10D0940831) is associated with this NPI, valid through February 17, 2028. 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 March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.