Individual
DR. MARIA P RIVAS-BONDAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4770 BISCAYNE BLVD, SUITE 1140, MIAMI, FL 33137-3202
(305) 573-7200
Mailing address
4770 BISCAYNE BLVD, SUITE 1140, MIAMI, FL 33137-3202
(305) 573-7200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME104384
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN10295
FL
Other
Enumeration date
05/24/2007
Last updated
10/14/2014
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