NPIMap

Organization Active NPI

Metcare of West Palm Beach

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1760873905
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
METCARE OF WEST PALM BEACH
Doing business as
Conviva Care Center
Practice address
1411 N Flagler Dr Ste 6800
West Palm Beach, FL 33401
Phone
(561) 842-7293
Fax
(561) 842-5554
NPI assigned
Feb 10, 2015
Organization subpart
Yes
Parent organization
METROPOLITAN HEALTH NETWORKS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Ms. Gemma Rosello
Title
V.P. Operations
Phone
(305) 500-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1411 N Flagler Dr Ste 6800
West Palm Beach, FL 33401

Mailing address

6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2055
Phone (305) 500-2114

Other identifiers 1

IdentifierTypeStateIssuer
CX415AOtherFLMEDICARE PTAN

Other names 1

  • Conviva Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metcare of New Smyrna Beach29 organizations share this tax ID, including this one
Part of
Albert Zamek

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1760873905",
    "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": "1411 N FLAGLER DR STE 6800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-842-7293",
            "fax_number": "561-842-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE OF WEST PALM BEACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN HEALTH NETWORKS, INC",
        "enumeration_date": "2015-02-10",
        "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": "V.P. OPERATIONS",
        "authorized_official_telephone_number": "305-500-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CX415A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conviva Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • 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.