CMS-1500 Box 24J / 33a • NPI
1861828063
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
174400000X
Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
Box 32 Service Location & ZIP+4
3414 DUCK AVE, KEY WEST, FL, 33040-4427
✓ 9-Digit EDI 837 ZIP+4 (33040-4427)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1861828063 (AVIVA HEALTHCARE INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1861828063 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AVIVA HEALTHCARE INC. |
| Plain-English Specialty | Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: 174400000X (Specialist) |
| Certifying / Licensing Body | American Board of Pediatrics (ABP) |
| Practice Location Address | 3414 DUCK AVE, KEY WEST, FL, 33040-4427 |
| Practice Telephone / Fax | Tel: (305) 295-9771 | Fax: (305) 295-0059 |
| Administrative Mailing Address | 353 CYPRESS PKWY, KISSIMMEE, FL, 34759-3326 |
| Enumeration & Last Sync | Enumerated: 2013-09-19 | CMS Record Updated: 2014-10-15 |
| Authorized Official | EDUARDO GARRIDO (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (174400000X)
What Does Taxonomy Code 174400000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174400000X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AVIVA HEALTHCARE INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
- Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
- Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
- Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
- Pediatric Asthma Nebulization & Spirometry Evaluation
- Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
- WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
- Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
- Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QR0200X — Clinic/Center, RadiologyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: FL | License: 4716284079 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: N/A | License: Verified | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: N/A | License: Verified | Primary: Secondary |
2085P0229X — Radiology, Pediatric RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology | State: N/A | License: Verified | Primary: Secondary |
2085D0003X — Radiology, Diagnostic NeuroimagingPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Neuroimaging | State: N/A | License: Verified | Primary: Secondary |
261QU0200X — Clinic/Center, Urgent CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
174400000X — SpecialistPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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