CONVIVA LIBERTY CITY - NPI 1881268480 - Internal Medicine in Miami, 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.

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About Conviva Liberty City NPPES

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

CONVIVA LIBERTY CITY (NPI 1881268480) is a healthcare organization registered as an internal medicine in Miami, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1881268480

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address6269 NW 7TH AVEMiami, FL 33150-4394

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

Phone(305) 751-2000

Fax(855) 767-2585

Organization SubpartYes

Authorized OfficialKevin MeriwetherPresident · (305) 500-2000

Enumeration DateMay 18, 2021

Last NPPES UpdateJune 10, 20243 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1881268480 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

6269 NW 7TH AVE, Miami, FL 33150

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Other Names 1

Other NameConviva Liberty City

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 10D2014318

Conviva Medical Center Management, LLC Dba Conviva Care Center · Miami, FL

Active · expires Oct 5, 2026

CLIA Number10D2014318

Laboratory TypePhysician Office

Certificate Effective DateOctober 6, 2024

Certificate Expiration DateOctober 5, 2026

Laboratory DirectorDr. Sendy Jean-Louis

Laboratory Phone(305) 751-2000

Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center6269 NW 7th Ave, Miami, FL 33150

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. JACQUELINE JENNIFER GOURDET DORVIL MD

General Practice