| Conviva Specialty, Llc | |
|
12905 Sw 42nd St Ste 103 Miami FL 33175-2910 | |
| (786) 801-5620 | |
| Not Available |
| Full Name | Conviva Specialty, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12905 Sw 42nd St Ste 103, Miami, Florida |
| Authorized Official Name and Position | Evan Jacobs (ASSOCIATE VP) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conviva Specialty, Llc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Specialty, Llc 12905 Sw 42nd St Ste 103 Miami FL 33175-2910 Ph: (786) 801-5620 |
| NPI Number | 1326498676 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 06/21/2024 |
| Medicare PECOS PAC ID | 2365729308 |
|---|---|
| Medicare Enrollment ID | O20170501001372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326498676 | NPI | - | NPPES |
| 021709600 | Medicaid | FL |
| Provider Name | Carmen O Partridge |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083670947 PECOS PAC ID: 8123925179 Enrollment ID: I20031217000578 |
| Provider Name | Seth A Minsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609929017 PECOS PAC ID: 6204843220 Enrollment ID: I20060316000359 |
| Provider Name | Afolabi Sangosanya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194808022 PECOS PAC ID: 7719055383 Enrollment ID: I20081009000162 |
| Provider Name | Joaquin R Fernandez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154306314 PECOS PAC ID: 3971629783 Enrollment ID: I20100929001401 |
| Provider Name | Niurka Herrera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205079324 PECOS PAC ID: 3678756459 Enrollment ID: I20110401000128 |
| Provider Name | Edgar A German-mena |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548430515 PECOS PAC ID: 4981877149 Enrollment ID: I20111103000230 |
| Provider Name | Ramiro Morlote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609212901 PECOS PAC ID: 5193965671 Enrollment ID: I20130703000527 |
| Provider Name | Maikhoi Tuong Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811273600 PECOS PAC ID: 0547418964 Enrollment ID: I20130924000716 |
| Provider Name | Evan S Jacobs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215179882 PECOS PAC ID: 1456665926 Enrollment ID: I20150729007576 |
| Provider Name | Bensita Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255762183 PECOS PAC ID: 9335449826 Enrollment ID: I20151207000852 |
| Provider Name | Adam C Nader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922394998 PECOS PAC ID: 5092017632 Enrollment ID: I20160113001850 |
| Provider Name | Jose Valenciaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154759546 PECOS PAC ID: 3375846785 Enrollment ID: I20160119001606 |
| Provider Name | Amber D Lazarus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679935985 PECOS PAC ID: 1658663190 Enrollment ID: I20160802001427 |
| Provider Name | Sunpreet K Mann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295978914 PECOS PAC ID: 7416183967 Enrollment ID: I20170130003118 |
| Provider Name | Nancy M Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295116341 PECOS PAC ID: 3072681873 Enrollment ID: I20180523003200 |
| Provider Name | Maria A Rodriguez Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087559 PECOS PAC ID: 3678829157 Enrollment ID: I20180713001488 |
| Provider Name | Kathlene J Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831695519 PECOS PAC ID: 0143562397 Enrollment ID: I20190508002531 |
| Provider Name | Sarah Palasciano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427672062 PECOS PAC ID: 0143645184 Enrollment ID: I20200807000202 |
| Provider Name | Natalya Berezovskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942562822 PECOS PAC ID: 4880909720 Enrollment ID: I20210607000946 |
| Provider Name | Melissa A Austria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629437173 PECOS PAC ID: 0547605842 Enrollment ID: I20240227000214 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 | |
Medserve Of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 | |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 | |
Dagmar Lemus Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 | |
Midway Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 | |
Mario L Nunez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 | |
Alberto Iglesias Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 Coral Way, Suite 125, Miami, FL 33155 Phone: 305-266-1183 |