Individual
JOSE G VIVALDI PICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR 130 KM 9.9, BO CAMPO ALEGRE, HATILLO, PR 00659-8823
(787) 262-8808
(787) 262-8808
Mailing address
PO BOX 1823, HATILLO, PR 00659-8823
(787) 262-8808
(787) 262-8808
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13164
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90273
—
PR
Enumeration date
06/13/2006
Last updated
01/30/2017
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