Active NPI
Maria P Rivas-Bondavalli, M.D.
- Dermatology Physician
- Miami, FL
National Provider Identifier
1871704858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME104384
- Practice address
- 4770 Biscayne Blvd
Suite 1140
Miami, FL 33137-3202 - Phone
- (305) 573-7200
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN10295 | FL | |
| Dermatology Physician | 207N00000X | ME104384 | FL | Primary |
Addresses
Primary practice location
4770 Biscayne Blvd
Suite 1140
Miami, FL 33137-3202
Mailing address
4770 Biscayne Blvd
Suite 1140
Miami, FL 33137-3202
Phone (305) 573-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN10295 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice R. Barba MD PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Miami, FL
- NPI 1215184031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1871704858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 BISCAYNE BLVD",
"address_2": "SUITE 1140",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373202",
"telephone_number": "305-573-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 BISCAYNE BLVD",
"address_2": "SUITE 1140",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373202",
"telephone_number": "305-573-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS-BONDAVALLI",
"first_name": "MARIA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN10295",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME104384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.