Conviva Care Center | |
6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 | |
(305) 500-2000 | |
Not Available |
Full Name | Conviva Care Center |
---|---|
Speciality | Internal Medicine |
Location | 6101 Blue Lagoon Dr Ste 200, Miami, Florida |
Authorized Official Name and Position | Ofelia Burgos (DIRECTOR) |
Authorized Official Contact | 3055002000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Conviva Care Center 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Care Center 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 |
NPI Number | 1902893225 |
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Provider Enumeration Date | 10/03/2005 |
Last Update Date | 09/06/2022 |
Medicare PECOS PAC ID | 9739265141 |
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Medicare Enrollment ID | O20100308000361 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902893225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gary S Kabinoff |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679540488 PECOS PAC ID: 2062309412 Enrollment ID: I20040302000095 |
Provider Name | Elio R Novoa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124012448 PECOS PAC ID: 6305839069 Enrollment ID: I20040407000813 |
Provider Name | Angel Feliciano |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1548256480 PECOS PAC ID: 6709875669 Enrollment ID: I20040507000294 |
Provider Name | Sandeep B Sura |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710992458 PECOS PAC ID: 7416944186 Enrollment ID: I20040615001476 |
Provider Name | Bruce A Barniville |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598758104 PECOS PAC ID: 1254317464 Enrollment ID: I20040629000365 |
Provider Name | Sherryl A Ashberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104827229 PECOS PAC ID: 9032168505 Enrollment ID: I20050121000700 |
Provider Name | Ernesto R Diaz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376598623 PECOS PAC ID: 7113971037 Enrollment ID: I20050407000597 |
Provider Name | Deborah A Hollimon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275695769 PECOS PAC ID: 9537184593 Enrollment ID: I20051008000067 |
Provider Name | Tahir Naeem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801820337 PECOS PAC ID: 1850390006 Enrollment ID: I20061215000435 |
Provider Name | David Bruce Felker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083684336 PECOS PAC ID: 5799870515 Enrollment ID: I20071009000039 |
Provider Name | Evon R Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538355078 PECOS PAC ID: 7113016908 Enrollment ID: I20071201000048 |
Provider Name | Renee L Lancaster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265411870 PECOS PAC ID: 2961577416 Enrollment ID: I20080818000398 |
Provider Name | Margaret M Egan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881602225 PECOS PAC ID: 2567510829 Enrollment ID: I20090427000222 |
Provider Name | Sareh Beladi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164550893 PECOS PAC ID: 9830288083 Enrollment ID: I20100113000821 |
Provider Name | Diane Leigh Pugh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073590667 PECOS PAC ID: 3476697855 Enrollment ID: I20100223000679 |
Provider Name | David Ijac |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649255951 PECOS PAC ID: 3274518063 Enrollment ID: I20100929000272 |
Provider Name | Sandhya Menon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013160423 PECOS PAC ID: 3173719473 Enrollment ID: I20101129000978 |
Provider Name | Joseph M Sperduto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386651800 PECOS PAC ID: 3577733914 Enrollment ID: I20110906000387 |
Provider Name | Florina M Schiess-kadribasic |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922215011 PECOS PAC ID: 3779757778 Enrollment ID: I20111130000545 |
Provider Name | Noelle T Stewart |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477824332 PECOS PAC ID: 8921237678 Enrollment ID: I20140129001683 |
Provider Name | Susan L Fischer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033308986 PECOS PAC ID: 8628298155 Enrollment ID: I20141006001786 |
Provider Name | Rose J Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407100670 PECOS PAC ID: 7810132859 Enrollment ID: I20150226001391 |
Provider Name | Sherry Burkett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851765465 PECOS PAC ID: 2365745353 Enrollment ID: I20160126000668 |
Provider Name | Shannon L Milam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447633763 PECOS PAC ID: 1153627336 Enrollment ID: I20160315000789 |
Provider Name | Roxana P Viera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730140054 PECOS PAC ID: 8820080690 Enrollment ID: I20160924000230 |
Provider Name | Dominique S Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851845069 PECOS PAC ID: 6507149994 Enrollment ID: I20170209000379 |
Provider Name | Jeffrey P Collins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275593774 PECOS PAC ID: 6800966748 Enrollment ID: I20170601000860 |
Provider Name | Cantave Charlot |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1679026983 PECOS PAC ID: 7618247313 Enrollment ID: I20170727001953 |
Provider Name | Joely Ayes-gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629584289 PECOS PAC ID: 8729341680 Enrollment ID: I20180406001751 |
Provider Name | Edwin Parrilla |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710306642 PECOS PAC ID: 1153669254 Enrollment ID: I20190215000835 |
Provider Name | Claudia William |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245510858 PECOS PAC ID: 3476872243 Enrollment ID: I20190709000541 |
Provider Name | Elizabeth Rauch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831684430 PECOS PAC ID: 1759612054 Enrollment ID: I20191018000135 |
Provider Name | Catherine Manning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821240003 PECOS PAC ID: 9436423928 Enrollment ID: I20201204001445 |
Provider Name | Regine Jeanty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831789965 PECOS PAC ID: 4880009190 Enrollment ID: I20210219000261 |
Provider Name | Sabrina Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720462393 PECOS PAC ID: 2567871338 Enrollment ID: I20210506002578 |
Provider Name | Andrew Brian Lebovic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710497375 PECOS PAC ID: 7810396900 Enrollment ID: I20210521000887 |
Provider Name | Jheannel Marie White |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487149159 PECOS PAC ID: 5496155368 Enrollment ID: I20210615000385 |
Provider Name | Cynthia Silvestre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174178214 PECOS PAC ID: 6305176868 Enrollment ID: I20211119001027 |
Provider Name | Mary Angela Garrity-ayrosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841765625 PECOS PAC ID: 4789075458 Enrollment ID: I20220107000153 |
Provider Name | Tarek Eid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881198851 PECOS PAC ID: 6507198660 Enrollment ID: I20220708002862 |
Provider Name | Ryan M Bailey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558820621 PECOS PAC ID: 2769819077 Enrollment ID: I20220804002625 |
Provider Name | Noremi Diaz Shoaf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982019634 PECOS PAC ID: 1153640438 Enrollment ID: I20220815000068 |
Provider Name | Amanda Curtis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174983605 PECOS PAC ID: 3971881160 Enrollment ID: I20221108003510 |
Provider Name | Heidi Marie Marcelo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326659814 PECOS PAC ID: 8224497698 Enrollment ID: I20230703000428 |
Provider Name | Tina Ann Brady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386361996 PECOS PAC ID: 8628441755 Enrollment ID: I20230823001199 |
Provider Name | Badar S Sabeen |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1619641693 PECOS PAC ID: 6800259847 Enrollment ID: I20230824000652 |
Provider Name | Mario E. Pelletier |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457310724 PECOS PAC ID: 1355408642 Enrollment ID: I20230915000066 |
Provider Name | Ana Maria Mesignak Yllas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205592052 PECOS PAC ID: 9335594712 Enrollment ID: I20231005001527 |
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