Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conviva Specialty, LLC

Organization Cardiovascular Disease Physician · NPI 1326498676

Conviva Specialty, LLC is a Cardiovascular Disease Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12905 SW 42nd St Ste 103
Miami, FL 33175-2910
Phone: (786) 801-5620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Neurological Surgery Physician Taxonomy 207T00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence ME116882 (FL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence ME129977 (FL)

Record details

NPI number1326498676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Bonetti — Associate Director · (305) 500-2000
NPI enumeratedJune 17, 2016
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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