Individual
DR. LIDGIA R VIVES CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ANTIGUO EDIFICIO JESUS T PINERO 80100 ESQUINA MOLINILLO, CAROLINA, PR 00986
(787) 626-3322
Mailing address
URB. J CAPARRA, CALLE 1 B21, BAYAMON, PR 00959
(939) 260-6861
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11425
PR
2084N0400X
Neurology Physician
15664
MS
2084V0102X
Vascular Neurology Physician
11425
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039304700
—
PR
01
—
PM412
MEDICARE
PR
Enumeration date
10/27/2006
Last updated
11/18/2022
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