JEAN ROBERT CORVINGTON
NPI 1609628536
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 03, 2024PECOS Enrolled

1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-4310 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2025, Apr 3, 2024 (2 updates tracked since 2024).

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About Jean Robert Corvington NPPES

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

JEAN ROBERT CORVINGTON (NPI 1609628536) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609628536

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJEAN ROBERT CORVINGTON

Location Address1611 NW 12TH AVEMiami, FL 33136-1005

Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 585-4310 · Fax (305) 585-4310

Phone(305) 585-4310

Sole ProprietorYes

Enumeration DateApril 3, 2024

Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1609628536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1611 NW 12TH AVE, Miami, FL 33136

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean Robert Corvington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.