CONVIVA HALLANDALE
NPI 1760065098
Internal Medicine in Hallandale Beach, FL

Q: What is Conviva Medical Center Management LLC's specialty?

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

Active since May 04, 2021CLIA 10D2089824 · Waiver

1740 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009(954) 456-5533(888) 204-4839 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, May 4, 2021 (2 updates tracked since 2021).

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About Conviva Hallandale NPPES

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

CONVIVA HALLANDALE (NPI 1760065098) is a healthcare organization registered as an internal medicine in Hallandale Beach, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1760065098

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address1740 E HALLANDALE BEACH BLVDHallandale Beach, FL 33009-4611

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(954) 456-5533

Fax(888) 204-4839

Organization SubpartYes

Authorized OfficialKevin MeriwetherPresident · (305) 500-2000

Enumeration DateMay 4, 2021

Last NPPES UpdateMay 22, 20242 updates tracked since enumeration

NPPES CertifiedMay 22, 2024

✔ NPI 1760065098 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

1740 E HALLANDALE BEACH BLVD, Hallandale Beach, FL 33009

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Other Names 1

Other NameConviva Hallandale

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 10D2089824

Conviva Medical Center Management, LLC Dba Conviva Care Center · Hallandale Beach, FL

Active · expires Jan 7, 2027

CLIA Number10D2089824

Laboratory TypePhysician Office

Certificate Effective DateJanuary 8, 2025

Certificate Expiration DateJanuary 7, 2027

Laboratory DirectorMichael Machek

Laboratory Phone(954) 456-5533

Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center1740 East Hallandale Beach Blvd, Hallandale Beach, FL 33009

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 10

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

DR. MICHAEL STEVEN CUENCA MD

Internal Medicine