Individual
MRS. TERE VIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1437 AMELIA ST, NEW ORLEANS, LA 70115-3623
(504) 899-4005
(504) 896-2135
Mailing address
200 HENRY CLAY AVE, SUITE 3317, NEW ORLEANS, LA 70118-5720
(504) 896-2134
(504) 896-2135
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10138R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431818
—
LA
Enumeration date
06/13/2006
Last updated
01/30/2025
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