Individual
DR. ANTONIO ALBERTO VIVALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE POST 509 SUR, MAYAGUEZ, PR 00680
(787) 833-7650
(787) 265-3310
Mailing address
PO BOX 726, MAYAGUEZ, PR 00681-0726
(787) 851-8606
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12740
PR
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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