Organization Active NPI

Anuvia Medical Center

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1801349121
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ARNP9335724 Issued in FL
Legal business name
ANUVIA MEDICAL CENTER
Practice address
190 NE 199TH St Ste 102
Miami, FL 33179-2927
Phone
(786) 589-7840
Fax
(305) 391-3551
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Venise Danda, APRNNPI 1306261110
Title
Medical Director
Phone
(786) 201-3794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X ARNP9335724 FL Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

190 NE 199TH St Ste 102
Miami, FL 33179-2927

Mailing address

190 NE 199TH St Ste 102
Miami, FL 33179-2927
Phone (786) 589-7840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801003249 FL Part B Supplier - Clinic/Group Practice 1658732011 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2281405Anuvia Medical Center, LLC190 NE 199TH Street, Ste 102, Miami, FL 33179Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

20880 W Dixie Hwy
Miami, FL 33180
Phone (305) 682-1441

190 NE 199th St
Ste 102
Miami, FL 33179
Phone (305) 832-9385

190 NE 199th St
Ste 201
North Miami Beach, FL 33179
Phone (786) 269-2388

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1801349121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NE 199TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792927",
            "telephone_number": "786-589-7840",
            "fax_number": "305-391-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NE 199TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792927",
            "telephone_number": "786-589-7840",
            "fax_number": "305-391-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUVIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "DANDA",
        "authorized_official_first_name": "VENISE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-201-3794",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP9335724",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.