NPIMap

Organization Active NPI

Conviva Medical Center Management LLC

Doing business as Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1649324278
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Doing business as
Conviva Care Center
Practice address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone
(305) 500-2000
NPI assigned
Jan 22, 2007
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Angel Garcia
Title
Billing Department
Phone
(863) 399-3251

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other names 1

  • Conviva Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000415 FL Part B Supplier - Clinic/Group Practice 4284717422 Receives reassigned benefits from 741 practitioners

National Provider Directory

National Provider Directory

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 59)

3795 W Boynton Beach Blvd
Ste A
Boynton Beach, FL 33436
Phone (561) 369-4255

7720 Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 361-4840

1920 W Brandon Blvd
Brandon, FL 33511
Phone (813) 662-3777

449621 US Highway 301
#110
Callahan, FL 32011
Phone (904) 507-2692

1104 Beville Rd
Daytona Beach, FL 32114
Phone (386) 416-9869

1116B Beville Rd
Daytona Beach, FL 32114
Phone (386) 226-2268

1640 Technology Blvd
Unit 100
Daytona Beach, FL 32117
Phone (386) 241-1657

929 N Spring Garden Ave
Ste 170
Deland, FL 32720
Phone (386) 738-3896

250 Dixie Blvd
Ste 203
Delray Beach, FL 33444
Phone (561) 278-5615

5317 W Atlantic Ave
Delray Beach, FL 33484
Phone (561) 496-6000

601 N Congress Ave
Ste 403
Delray Beach, FL 33445
Phone (561) 272-1618

2020 NE 48th Ct
Ft Lauderdale, FL 33308
Phone (954) 491-1686

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

5799 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 967-0234

6864 Forest Hill Blvd
Ste B
Greenacres, FL 33413
Phone (561) 425-5757

2500 E Hallandale Beach Blvd
Ste M
Hallandale Beach, FL 33009
Phone (954) 455-2385

551856 US Highway 1
Ste 108
Hilliard, FL 32046
Phone (904) 862-2482

1028 Dunn Ave
Jacksonville, FL 32218
Phone (904) 485-6739

3450 Dunn Ave
Ste 201
Jacksonville, FL 32218
Phone (904) 723-6049

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

6849 LK Worth Rd
Sutie 104
Lake Worth, FL 33467
Phone (561) 642-2800

6894 Lake Worth Rd
Ste 104
Lake Worth, FL 33467
Phone (561) 642-2800

7689 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 966-5577

600 El Paseo
Lakeland, FL 33805
Phone (863) 619-5999

4850 W Oakland Park Blvd
Ste 148
Lauderdale Lakes, FL 33313
Phone (954) 735-1200

Ownership & related parties

Subparts reporting this organization as parent 76

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 76

Practitioners & affiliated clinicians

Practitioners 820

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 820

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1649324278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVIVA MEDICAL CENTER MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "863-399-3251"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conviva Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conviva Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.