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CONVIVA SPECIALTY, LLC
NPI 1326498676
Internal Medicine - Cardiovascular Disease in Miami, FL

Active since June 17, 2016
12905 SW 42ND ST STE 103, MIAMI, FL 33175(786) 801-5620 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Oct 1, 2020, Feb 25, 2020 and 3 more (6 updates tracked since 2016).

About Conviva Specialty, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVIVA SPECIALTY, LLC (NPI 1326498676) is a healthcare organization registered as a cardiovascular disease in Miami, Florida and active in the NPI registry since June 2016. The organization lists Jessica Bonetti, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1326498676
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCONVIVA SPECIALTY, LLC
Location Address12905 SW 42ND ST STE 103Miami, FL 33175-2910
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(786) 801-5620
Organization SubpartNo
Authorized OfficialJessica BonettiAssociate Director · (305) 500-2000
Enumeration DateJune 17, 2016
Last NPPES UpdateOctober 29, 20256 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1326498676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME116882 (FL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License ME129977 (FL)
12905 SW 42ND ST STE 103, Miami, FL 33175
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Other Identifiers 1

Medicaid021709600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRISTINA MICHELLE SOTO MENDEZ D.C.
Chiropractor
12905 SW 42ND ST STE 103
MIAMI, FL 33175
Miami-Dade County (305) 824-0637
ESDENA LACINA GARCIA FNP/ PMHNP
Nurse Practitioner (Family)
12905 SW 42ND ST STE 103
MIAMI, FL 33175
Miami-Dade County (305) 824-0637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conviva Specialty, LLC's NPI number?

The NPI number for Conviva Specialty, LLC is 1326498676. It was assigned to this organization in the NPPES registry on June 17, 2016.

Where is Conviva Specialty, LLC located?

Conviva Specialty, LLC is located at 12905 SW 42nd St Ste 103, Miami, FL 33175. The listed phone number is (786) 801-5620.

What is Conviva Specialty, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Conviva Specialty, LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.