Conviva Medical Center Management LLC
Organization Active NPI Internal Medicine Physician · Homestead, FL
NPI 1992371694 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1992371694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CONVIVA MEDICAL CENTER MANAGEMENT LLC
- Practice address
- 151 NW 11TH St Ste E102
Homestead, FL 33030-4350 - Phone
- (305) 248-4877
- Fax
- (877) 448-3525
- NPI assigned
- Jun 2, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- CONVIVA MEDICAL CENTER MANAGEMENT LLC
Authorized official
- Name
- Kevin Meriwether
- Title
- Division President
- Phone
- (305) 500-2000
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 12
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1017757 | Conviva Medical Center Management LLC | Certificate of waiver | Oct 2, 2027 |
National Provider Directory
- Tax ID family
- Conviva Med Ctr MGMT LLC
- Part of
- Conviva Med Ctr MGMT LLC
Locations
151 NW 11th St
Ste E102
Homestead, FL 33030
Phone (305) 248-4877
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| General Practice Physician |
208D00000X |
Addresses
Primary practice location
151 NW 11TH St Ste E102
Homestead, FL 33030-4350
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Other names
- Conviva NW 183rd
Other providers in Homestead, FL
- Adabelis Contreras
- Bethany Ferrari Contreras
- Rosa Maria Contreras
- Tatiana Loreen Contreras
- Conviva Medical Center Management LLC
- Cor Medical Centers of Homestead
- Cora Health Services Inc
- Cora Health Services Inc.
- Rosa Coradin
- Coral Reef Medical Group LLC
All providers in Homestead, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.