Individual provider Active NPI

Renato Cerna Viacava, MD

  • Student in an Organized Health Care Education/Training Program
  • Jacksonville, FL
National Provider Identifier
1467031526
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
TRN41490 Issued in FL
Practice address
655 West 8TH Street, Cardiovascular Center, 5TH Floor
Ambulatory Care Center, Box C-35
Jacksonville, FL 32209
Phone
(904) 244-3932
NPI assigned
Apr 6, 2021
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN41490 FL Primary

Addresses

Primary practice location

655 West 8TH Street, Cardiovascular Center, 5TH Floor
Ambulatory Care Center, Box C-35
Jacksonville, FL 32209

Mailing address

655 West 8TH Street, Cardiovascular Center, 5TH Floor
Ambulatory Care Center, Box C-35
Jacksonville, FL 32209
Phone (904) 244-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827002689 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7214332212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN41490FLMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: rcerna3399138@direct.trinity-health.org
  • Direct secure messaging: rcernaviacava725904@direct.hfhs.org
  • Direct secure messaging: rcernaviacava773869@direct.shands.ufl.edu

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1467031526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 WEST 8TH STREET, CARDIOVASCULAR CENTER, 5TH FLOOR",
            "address_2": "AMBULATORY CARE CENTER, BOX C-35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WEST 8TH STREET, CARDIOVASCULAR CENTER, 5TH FLOOR",
            "address_2": "AMBULATORY CARE CENTER, BOX C-35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNA VIACAVA",
        "first_name": "RENATO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN41490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.