Individual
DR. JOSE ANTONIO VIVALDI-OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,MPH
Contact information
Practice address
ALMIRANTE PINZON 242, EL VEDADO, SAN JUAN, PR 00919
(787) 550-2160
Mailing address
PO BOX 194796, SAN JUAN, PR 00919-4796
(787) 550-2160
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
001523
PR
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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