Active NPI
Aviva Healthcare Inc.
Doing business as Edwards Healthcare
- Specialist
- Key West, FL
National Provider Identifier
1861828063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- AVIVA HEALTHCARE INC.
- Doing business as
- Edwards Healthcare
- Practice address
- 3414 Duck Ave
Key West, FL 33040-4427 - Phone
- (305) 295-9771
- Fax
- (305) 295-0059
- NPI assigned
- Sep 19, 2013
- Last updated
- Oct 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eduardo Garrido, PA
- Title
- Ceo
- Phone
- (407) 343-0542
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Radiology Clinic/Center | 261QR0200X | 4716284079 | FL | |
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
3414 Duck Ave
Key West, FL 33040-4427
Mailing address
353 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (813) 434-1273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13078 | Other | FL | AHCA |
Other names 1
- Edwards Healthcare
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physician Assistant
- Clearwater, FL
- NPI 1154381580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1861828063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 CYPRESS PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593326",
"telephone_number": "813-434-1273",
"fax_number": "813-434-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 DUCK AVE",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404427",
"telephone_number": "305-295-9771",
"fax_number": "305-295-0059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVIVA HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-19",
"last_updated": "2014-10-15",
"status": "A",
"authorized_official_last_name": "GARRIDO",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-343-0542",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085D0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "4716284079",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "13078",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Edwards Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.