CONVIVA MEMORIAL WEST
NPI 1982278297
Internal Medicine in Pembroke Pines, 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 20, 2021

601 N FLAMINGO RD STE 304, PEMBROKE PINES, FL 33028(954) 433-3114(954) 433-0872 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2022, May 20, 2021 (2 updates tracked since 2021).

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About Conviva Memorial West NPPES

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

CONVIVA MEMORIAL WEST (NPI 1982278297) is a healthcare organization registered as an internal medicine in Pembroke Pines, Florida and active in the NPI registry since May 2021. The organization lists Ofelia Burgos, Director, as its authorized official.

NPPES Registry Identity

NPI1982278297

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address601 N FLAMINGO RD STE 304Pembroke Pines, FL 33028-1010

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

Phone(954) 433-3114

Fax(954) 433-0872

Organization SubpartYes

Authorized OfficialOfelia BurgosDirector · (305) 500-2000

Enumeration DateMay 20, 2021

Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1982278297 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

601 N FLAMINGO RD STE 304, Pembroke Pines, FL 33028

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Other Names 1

Other NameConviva Memorial West

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 10D2010612

Conviva Medical Center Management, LLC Dba Conviva Care Center · Pembroke Pines, FL

Expired · Jul 29, 2026

CLIA Number10D2010612

Laboratory TypePhysician Office

Certificate Effective DateJuly 30, 2024

Certificate Expiration DateJuly 29, 2026

Laboratory DirectorDavid Bencomo

Laboratory Phone(954) 433-7344

Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center11460 Pines Boulevard, Pembroke Pines, FL 33026

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PRIMARY MEDICAL PHYSICIANS, LLC

General Practice

601 N FLAMINGO RD STE 304
PEMBROKE PINES, FL 33028

Broward County (954) 399-9014

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 1982278297. It was assigned to this organization in the NPPES registry on May 20, 2021. The provider is also known as Conviva Memorial West.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 601 N Flamingo Rd Ste 304, Pembroke Pines, FL 33028. The listed phone number is (954) 433-3114.

What is Conviva Medical Center Management LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Conviva Medical Center Management LLC was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.