MCCI GROUP HOLDINGS LLC (NPI# 1659841039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659841039 |
| Entity Type | Organization |
| Organization Name | MCCI GROUP HOLDINGS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
440 W 49th St Hialeah FL 33012-3603 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 3058285000 |
| Practice Fax Number | 3058231635 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | 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 |
440 W 49TH ST |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919335 | Raymond Galceran | General Practice | 440 W 49th St, Hialeah, FL 33012-3603 | 2006-02-03 |
| 1609493741 | Olupona Foot and Ankle | Podiatrist | 440 W 49th St, Hialeah, FL 33012-3603 | 2020-07-05 |
| 1912409285 | Sidney J Stern Visual Health Centers Pa | Optometrist | 440 W 49th St, Hialeah, FL 33012-3603 | 2018-03-02 |
| 1396299277 | Hialeah 49 Urgent Care LLC | Family Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2016-08-09 |
| 1083938708 | Luis Enrique Gutierrez | Internal Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2010-03-24 |
| 1578724563 | Ana Elida Esquivel | Pharmacist | 440 W 49th St, Hialeah, FL 33012-3603 | 2008-06-23 |
| 1548420581 | Veronica Versari | Internal Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2008-06-12 |
| 1477725927 | Fidel Cintas | Family Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2008-03-25 |
| 1841475951 | Carlos Alberto Lista Ensenat | Family Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2008-01-08 |
| 1407077720 | South Florida Internal Medicine Group, LLC | Internal Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| 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 |
|---|---|---|---|---|
| 1902458979 | Familiar Medical Center | Internal Medicine | 777 E 25th St Ste 101, Hialeah, FL 33013-3804 | 2019-07-10 |
| 1093102576 | Maibys Rodriguez Aragon | Internal Medicine | 755 E 9th St, Hialeah, FL 33010-4553 | 2015-04-22 |
| 1730572793 | Orlando Thomas | Internal Medicine | 2001 W 68th Street, Suite 202, Hialeah, FL 33016 | 2015-03-13 |
| 1992193114 | Santiago Cardenas Md Pa | Internal Medicine | 135 E 9th St, Suite 4, Hialeah, FL 33010-4254 | 2014-12-23 |
| 1215346895 | Bar-net.inc | Internal Medicine | 334 E 17th St, Hialeah, FL 33010-3140 | 2014-08-07 |
| 1336568500 | Tuduri Md Inc | Internal Medicine | 7309 Nw 173rd Dr, Apt 100, Hialeah, FL 33015-8412 | 2014-04-15 |
| 1891117362 | Medplan Clinic, LLC | Internal Medicine | 4218 E 4 Ave, Hialeah, FL 33013 | 2014-01-17 |
| 1780935361 | Eduardo Elizalde Santos | Internal Medicine | 6950 Nw 186th St Apt 2-101, Apt 2-101, Hialeah, FL 33015-3211 | 2012-09-24 |
| 1144508334 | Misael Alberto Prieto, M.d., P.a. | Internal Medicine | 3665 E 4th Ave, Hialeah, FL 33013-3011 | 2011-07-22 |
| 1073817052 | Jose F Baca Md Inc | Internal Medicine | 777 E 25th St Ste 509, Hialeah, FL 33013-3834 | 2011-01-05 |
| Find all providers in HIALEAH | ||||
Please comment or provide details below to improve the information on MCCI GROUP HOLDINGS 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.