CAC-FLORIDA MEDICAL CENTERS LLC (NPI# 1750609590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750609590 |
| Entity Type | Organization |
| Organization Name | CAC-FLORIDA MEDICAL CENTERS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
1200 Sw 1st Street Miami FL 33135 |
| Mailing Address |
6101 Blue Lagoon Dr. Suite 400 Miami FL 33012-2051 |
| Practice Telephone | 3053242000 |
| Practice Fax Number | 3053243650 |
| Mailing Telephone | 3055002000 |
| Mailing Fax Number | 3053706024 |
| Enumeration Date | 2010-05-04 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
HCC4953 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083955355 | Cac-florida Medical Centers LLC | Clinic/Center | 4340 W Hillsborough Ave, Suite 208, Tampa, FL 33614-5560 | 2013-03-11 |
| 1336425180 | Cac-florida Medical Centers LLC | Clinic/Center | 5235 West Colonial Drive, Orlando, FL 32808 | 2011-10-25 |
| 1801102561 | Cac-florida Medical Centers LLC | Clinic/Center | 6269 Nw 7th Avenue, Miami, FL 33150 | 2010-08-19 |
| 1801114640 | Cac-florida Medical Centers LLC | Clinic/Center | 8686 Coral Way, Miami, FL 33155 | 2010-05-04 |
| 1437477247 | Cac-florida Medical Centers LLC | Clinic/Center | 10401 Sw 40th Street, Miami, FL 33165 | 2010-05-04 |
| 1053639864 | Cac-florida Medical Centers LLC | Clinic/Center | 1648 N.e. 163 Street, North Miami Beach, FL 33162 | 2010-05-04 |
| 1457679268 | Cac-florida Medical Centers LLC | Clinic/Center | 18623 South Dixie Hwy, Miami, FL 33157 | 2010-05-04 |
| 1689992349 | Cac-florida Medical Centers LLC | Clinic/Center | 975 W 49th St, Hialeah, FL 33012-3412 | 2010-05-05 |
| Street Address |
1200 SW 1ST STREET |
| City | MIAMI |
| State | FL |
| Zip Code | 33135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699785949 | Mercedes Jacqueline Pino | Internal Medicine | 1200 Sw 1st Street, Miami, FL 33135 | 2006-08-09 |
| 1548371651 | Elda Esther Hernandez | Internal Medicine | 1200 Sw 1st Street, Miami, FL 33135 | 2006-08-31 |
| 1033129382 | Velia M Toledo | Internal Medicine | 1200 Sw 1st Street, Miami, FL 33135 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1326673013 | Prestige Healthcare Group | Clinic/Center | 1800 Sw 1st St Ste 320, Miami, FL 33135-1964 | 2020-03-03 |
| 1952933939 | La O Community Health, Inc | Clinic/Center | 7392 Nw 35th Ter Ste 309, Miami, FL 33122-1260 | 2020-02-07 |
| 1164061255 | Bladez Medical Center Inc | Clinic/Center | 8420 W Flagler St Ste 224, Miami, FL 33144-2046 | 2020-01-06 |
| 1720629900 | Soma Health and Wellness Center, Inc | Clinic/Center | 11010 Sw 88th St Ste 104, Miami, FL 33176-1205 | 2019-09-30 |
| 1992202758 | Elitemd Inc | Clinic/Center | 2960 Ne 207th St Unit 1108, Miami, FL 33180-1455 | 2018-04-09 |
| 1902312754 | Clinica Las Mercedes II, Inc | Clinic/Center | 9853 Sw 40 Street, Miami, FL 33165 | 2017-12-15 |
| 1164962197 | Healthworks Med Group of Florida P A | Clinic/Center | 6505 Blue Lagoon Dr, 2nd Floor, Miami, FL 33126-6009 | 2017-02-23 |
| Find all providers in MIAMI | ||||
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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.