Individual
MRS. ENRIQUETA VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CORP FONDO DEL SEGURO DEL ESTADO, PARQUE ESCORIAL, CAROLINA, PR 00987
(787) 757-6850
Mailing address
PO BOX 503, LUQUILLO, PR 00773
(787) 752-7856
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11547
PR
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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