MCCI GROUP HOLDINGS LLC (NPI# 1457821845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457821845 |
| Entity Type | Organization |
| Organization Name | MCCI GROUP HOLDINGS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
18469 S Dixie Hwy Cutler Bay FL 33157-6815 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 7865739400 |
| Practice Fax Number | 7865730824 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | GEMMA ROSELLO (OFFICER) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCI GROUP HOLDINGS LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905004 | Mcci Group Holdings LLC | Family Medicine | 551856 Us Highway, Suite 108, Hilliard, FL 32046 | 2019-01-04 |
| 1770056673 | Mcci Group Holdings LLC | Internal Medicine | 5317 W Atlantic Ave Ste 104, Delray Beach, FL 33484-8175 | 2019-01-03 |
| 1184197097 | Mcci Group Holdings LLC | Family Medicine | 5350 W Atlantic Ave Ste 100, Delray Beach, FL 33484-8112 | 2019-01-03 |
| 1083187827 | Mcci Group Holdings LLC | Family Medicine | 463646 Sr 200 West, Suite 12, Yulee, FL 32097 | 2019-01-04 |
| 1629541537 | Mcci Group Holdings LLC | Internal Medicine | 9121 N Military Trl Ste 111, Palm Beach Gardens, FL 33410-5985 | 2019-01-03 |
| 1932672748 | Mcci Group Holdings LLC | Internal Medicine | 7200 Normandy Blvd Ste 20, Jacksonville, FL 32205-6271 | 2019-01-03 |
| 1649743451 | Mcci Group Holdings LLC | Family Medicine | 25 University Blvd N, Jacksonville, FL 32211-7550 | 2019-01-03 |
| 1770056681 | Mcci Group Holdings LLC | Internal Medicine | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2019-01-03 |
| 1700359619 | Mcci Group Holdings LLC | Internal Medicine | 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 | 2019-01-03 |
| 1518430420 | Mcci Group Holdings LLC | Family Medicine | 11744 Beach Blvd Ste 107, Jacksonville, FL 32246-8476 | 2019-01-03 |
| Street Address |
18469 S DIXIE HWY |
| City | CUTLER BAY |
| State | FL |
| Zip Code | 33157-6815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528529120 | Olupona Foot and Ankle, LLC | Podiatrist | 18469 S Dixie Hwy, Cutler Bay, FL 33157-6815 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711399 | Palmetto Bay Retirement Home | Assisted Living Facility | 9220 Sw 174th Street, Palmetto Bay, FL 33157 | 2020-05-07 |
| 1033752886 | Jean Carlos Alf, Inc. | Assisted Living Facility | 9760 Memorial Road, Cutler Bay, FL 33157 | 2019-10-24 |
| 1912470238 | Metro Transport Services LLC | Non-emergency Medical Transport (VAN) | 18495 South Dixie Highway #233, Miami, FL 33157 | 2019-01-09 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| 1891283297 | Arianna Michelle Endara | Occupational Therapist | 10920 Sw 186th Street, Miami, FL 33157 | 2018-05-01 |
| 1841798022 | Yanet Rodriguez | Behavioral Analyst | 10920 Sw 200th Dr #100, Cutler Bay, FL 33157 | 2018-01-23 |
| 1548777543 | Ceda Orthopedics & Interventional Medicine | Chiropractor | 10974 Sw 184th Street, Miami, FL 33157 | 2017-12-29 |
| 1033635438 | Gabriela Deschamps | Behavior Technician | 15385 S Dixie Hwy, Apt 4, Miami, FL 33157 | 2017-08-17 |
| 1811411598 | Rebeca Molina De Tamayo | Behavior Technician | 9507 Sw 160th Street, Suite 250, Miami, FL 33157 | 2017-08-03 |
| 1194249912 | Family Love Behavioral Health Care LLC | Behavioral Analyst | 18901 Sw 106 Avenue, Suite A-227, Miami, FL 33157 | 2017-08-02 |
| Find all providers in zip 33157 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265059810 | Blas Perez Md Corp | Internal Medicine | 18611 Sw 93rd Ave, Cutler Bay, FL 33157-7945 | 2020-06-30 |
| 1447522438 | Juan Marcos Velazquez | Internal Medicine | 20595 Old Cutler Rd, Cutler Bay, FL 33189-2456 | 2012-02-06 |
| 1447295126 | Armando A Falcon | Internal Medicine | 10961 Sw 186th St, Apt 2106, Cutler Bay, FL 33157-6808 | 2006-06-18 |
| 1295798882 | Alexander Lopez-alvar | Internal Medicine | 11000 Sw 211th St, Cutler Bay, FL 33189-2804 | 2006-04-06 |
| 1063910800 | Josette Boukhalil-laklak Md Pa | Internal Medicine | 18430 S Dixie Hwy, Cutler Bay, FL 33157-6816 | 2018-01-26 |
| 1972897890 | Medical Center of Cutler Bay, Inc | Internal Medicine | 10961 Sw 186th St, Cutler Bay, FL 33157-6808 | 2011-06-08 |
| 1265725238 | Maria A. Gonzalez | Internal Medicine | 11000 Sw 211th St, Cutler Bay, FL 33189-2804 | 2011-05-24 |
| 1659505881 | Cutler Ridge Medical Center LLC | Internal Medicine | 10700 Caribbean Blvd, Suite 315, Cutler Bay, FL 33189-1232 | 2009-05-01 |
| 1952570863 | Claude L Jones | Internal Medicine | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2008-02-25 |
| 1093837163 | Physician Group of South Florida Inc | Internal Medicine | 10961 Sw 186th St, Cutler Bay, FL 33157-6808 | 2007-04-06 |
| Find all providers in CUTLER BAY | ||||
| City | CUTLER BAY |
| Zip Code | 33157 |
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| 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.