CAC- FLORIDA MEDICAL CENTERS LLC (NPI# 1124450382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124450382 |
| Entity Type | Organization |
| Organization Name | CAC- FLORIDA MEDICAL CENTERS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
12905 Sw 42nd St Suite 103 Miami FL 33175-2905 |
| Mailing Address |
6101 Blue Lagoon Dr. Suite 400 Miami FL 33012-2051 |
| Practice Telephone | 7868015620 |
| Practice Fax Number | 7864529864 |
| Mailing Telephone | 3055002000 |
| Mailing Fax Number | 3053706024 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | GEMMA ROSELLO (VICE PRESIDENT) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035234 | Cac- Florida Medical Centers LLC | Clinic/Center | 1602 N.e. 163 Street, North Miami Beach, FL 33162 | 2017-07-10 |
| 1396167540 | Cac- Florida Medical Centers LLC | Clinic/Center | 10463 Sw 40th St, Miami, FL 33165-3753 | 2014-01-07 |
| 1285975649 | Cac- Florida Medical Centers LLC | Clinic/Center | 8326 N Florida Ave, Tampa, FL 33604-3006 | 2013-03-11 |
| 1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
| 1982922795 | Cac- Florida Medical Centers LLC | Clinic/Center | 15516 Sw 88th Street, Miami, FL 33196 | 2010-05-04 |
| 1831526706 | Cac- Florida Medical Centers LLC | Clinic/Center | 18380 Nw 7th Ave, Miami, FL 33169-4410 | 2013-10-08 |
| 1801174099 | Cac- Florida Medical Centers LLC | Clinic/Center | 3185 W Vine St, Kissimmee, FL 34741-3738 | 2011-07-22 |
| 1487972147 | Cac- Florida Medical Centers LLC | Clinic/Center | 522 East 25th Street, Hialeah, FL 33013-3917 | 2010-05-05 |
| 1447578257 | Cac- Florida Medical Centers LLC | Clinic/Center | 4410 W 16th Ave, Hialeah, FL 33012-7100 | 2010-05-04 |
| 1063730877 | Cac- Florida Medical Centers LLC | Clinic/Center | 650 N Homestead Blvd, Homestead, FL 33030-6210 | 2010-05-04 |
| Street Address |
12905 SW 42ND ST SUITE 103 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760426407 | Teresa Odalys Garcia Arteaga | Counselor | 12905 Sw 42nd St, Miami, FL 33175-2905 | 2006-06-15 |
| 1649888355 | Joge Eduardo Rodriguez | Behavior Technician | 12905 Sw 42nd St, Miami, FL 33175-2905 | 2020-07-20 |
| 1811487200 | Vasquez Pulmonary Consultants Inc | Internal Medicine | 12905 Sw 42nd St, Miami, FL 33175-2905 | 2018-05-11 |
| 1225486848 | P,e,t. Ct & Mri of Miami, LLC | Clinic/Center | 12905 Sw 42nd St, Suite 106, Miami, FL 33175-2905 | 2016-05-25 |
| 1043664626 | Dynamic Motion Rehab Center | Clinic/Center | 12905 Sw 42nd St, Suite 202, Miami, FL 33175-2905 | 2016-04-20 |
| 1750709622 | Lung and Critical Care Specialists of South Florida | Internal Medicine | 12905 Sw 42nd St, Miami, FL 33175-2905 | 2014-03-28 |
| 1467711101 | Total Medical Services of Miami Inc | Clinic/Center | 12905 Sw 42nd St, Suite 201, Miami, FL 33175-2905 | 2012-05-15 |
| 1689930430 | Medical Healthcare Group Corp | Clinic/Center | 12905 Sw 42nd St, Suite 215, Miami, FL 33175-2905 | 2012-04-05 |
| 1497021521 | Confident Care Health Plan, Inc. | Health Maintenance Organization | 12905 Sw 42nd St, Suite 212, Miami, FL 33175-2905 | 2012-03-22 |
| 1639446503 | Faith Health Providers | Pediatrics | 12905 Sw 42nd St, Suite 101, Miami, FL 33175-2905 | 2011-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1598371064 | Orive Physician Services Pa | Clinic/Center | 7235 Sw 39th St, Miami, FL 33155-6615 | 2020-09-21 |
| 1174139745 | The Fidelity Health Care Group Florida, LLC | Clinic/Center | 1065 Sw 8th St Unit 135, Miami, FL 33130-3601 | 2020-09-19 |
| 1972117224 | Beautiful Minds Medical Center LLC | Clinic/Center | 11045 Sw 216th Street, Unit 6, Miami, FL 33170 | 2020-09-03 |
| 1912510751 | Abc Health Care Services LLC | Clinic/Center | 175 Fontainebleau Blvd # 2a2, Miami, FL 33172-7018 | 2020-08-30 |
| 1952914517 | Therapy Unlimited Miami | Clinic/Center | 792 Nw 123rd Ct, Miami, FL 33182-2429 | 2020-08-24 |
| 1801405170 | Blue Medical Center Corp | Clinic/Center | 7805 Sw 24th St Ste 129, Miami, FL 33155-6553 | 2020-07-23 |
| 1407473820 | Caremax Medical Center of Westchester, L.L.C. | Clinic/Center | 8755 Sw 24th St, Miami, FL 33165-2005 | 2020-07-01 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on CAC- FLORIDA MEDICAL CENTERS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.