CONVIVA CORAL GATE
NPI 1679147987
Internal Medicine in Margate, FL

NPI Status: Active since May 20, 2021

Contact Information

5643 NW 29TH ST
MARGATE, FL
ZIP 33063
Phone: (954) 979-6900
Fax: (866) 245-0079

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  • Organization
  • Internal Medicine
  • CLIA Number: 10D1037108
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-15-2027

About CONVIVA CORAL GATE

This page provides the complete NPI Profile along with additional information for Conviva Coral Gate, an internist established in Margate, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1679147987 assigned on May 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Conviva Coral Gate operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Conviva Coral Gate. The authorized official of this NPI record is Kevin Meriwether (President)

NPI
1679147987
Provider Legal Name
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Other Organization Name
CONVIVA CORAL GATE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5643 NW 29TH ST MARGATE, FL 33063
Location Phone
(954) 979-6900
Location Fax
(866) 245-0079
Mailing Address
6101 BLUE LAGOON DR STE 200 MIAMI, FL 33126
Mailing Phone
(305) 500-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2021
Last Update Date
05-21-2024
Code Navigator

An internist like Conviva Coral Gate is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN MERIWETHER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(305) 500-2000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1037108
Facility Type
Physician Office
Certificate Effective Date
February 16, 2025
Certificate Expiration Date
February 15, 2027
Laboratory Director
NATALIA RODRIGUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Conviva Coral Gate to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679147987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261492414916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 2 + 4 + 1 + 4 + 9 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1679147987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679678924MRS. ELAINE FRANCICA ROHAUS RPH
Individual
Pharmacist5643 NW 29TH ST
MARGATE, FL 33063
(954) 970-2503
1053524835DR. JENNIFER J WILLIAMS PHARM.D
Individual
Pharmacist5643 NW 29TH ST
MARGATE, FL 33063
(954) 970-2503
1417143108MS. SARAH CATHERINE MCCLURE RPH
Individual
Pharmacist (Pharmacotherapy)5643 NW 29TH ST
MARGATE, FL 33063
(954) 970-2503
1376884288EDDIE VELAZQUEZ, MD
Organization
Non-Pharmacy Dispensing Site5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900
1689916959CONTINUCARE MEDICAL CENTER
Organization
Non-Pharmacy Dispensing Site5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900
1861458168DR. JEFFREY DEAN SIMMONS M.D.
Individual
Internal Medicine (Cardiovascular Disease)5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900
1043238496CONTINUCARE MEDICAL MANAGEMENT, INC.
Organization
Clinic/Center (Multi-Specialty)5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900
1669551396 SANDRA CASTRO-URGANUS M.D.
Individual
Family Medicine5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900
1154382778DR. ARACELI QUEVEDO M.D.
Individual
Internal Medicine5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900
1598780082HUMANA MEDICAL PLAN INC
Organization
Pharmacy (Clinic Pharmacy)5643 NW 29TH ST SUITE 120
MARGATE, FL 33063
(954) 970-2503
1396185922MS. NORMA IRIS BARBOSA RIVERA MD
Individual
Internal Medicine5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900
1801261169CENTERWELL PHARMACY, INC.
Organization
Pharmacy (Community/Retail Pharmacy)5643 NW 29TH ST
MARGATE, FL 33063
(954) 247-6513
1669961249 ABEL ERNESTO GARRIGA PEREZ MD
Individual
General Practice5643 NW 29TH ST
MARGATE, FL 33063
(954) 737-5499
1184239063MR. YULEISY COTO APRN
Individual
Nurse Practitioner5643 NW 29TH ST
MARGATE, FL 33063
(954) 280-4146
1043807217 LETICIA FIGUEREDO CARDONA
Individual
Nurse Practitioner (Family)5643 NW 29TH ST
MARGATE, FL 33063
(754) 663-9933
1942786546 VIVIAN SUSANA CHANG MSN
Individual
Nurse Practitioner (Family)5643 NW 29TH ST
MARGATE, FL 33063
(754) 663-9933
1073356721 ALEXANDRA GAMEZ APRN
Individual
Nurse Practitioner (Gerontology)5643 NW 29TH ST
MARGATE, FL 33063
(954) 466-2793
1588013049 DIANELA MEDINA VEGA M.D
Individual
Family Medicine5643 NW 29TH ST
MARGATE, FL 33063
(954) 979-6900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679147987, enumerated in the NPI registry as an "organization" on May 20, 2021

The provider is located at 5643 Nw 29th St Margate, Fl 33063 and the phone number is (954) 979-6900

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 10D1037108 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 20, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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