Continucare MDHC, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

HCC 5545 Issued in FL

Legal business name

CONTINUCARE MDHC, LLC

Doing business as

Conviva Care Center

Practice address

442 Washington Ave
Homestead, FL 33030-6036

Phone

(305) 245-0200

Fax

(305) 631-1362

NPI assigned

Feb 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gemma Rosello

Title

Vice President

Phone

(305) 500-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Conviva Care Center Doing business as
• Continucare Medical Center Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1316186984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR",
            "address_2": "SUITE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262055",
            "telephone_number": "305-500-2114",
            "fax_number": "305-370-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 WASHINGTON AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306036",
            "telephone_number": "305-245-0200",
            "fax_number": "305-631-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUCARE MDHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-500-2000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC 5545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000563006",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conviva Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Continucare Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Continucare Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cristian Alejandro Conte Gonzalez
• Amarelis Contino
• Kaityn Contino
• Kristien Contino
• Rogelio A Contino
• Adabelis Contreras
• Bethany Ferrari Contreras
• Rosa Maria Contreras
• Tatiana Loreen Contreras
• Conviva Medical Center Management LLC

• Multi-Specialty Clinic/Center in Homestead, FL
• Providers in Homestead, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.