Individual
DR. JORGE A VIVONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
38 CALLE MIGUEL PLANELLAS, CIDRA, PR 00739-3345
(787) 531-1247
Mailing address
1456 CALLE WILSON, COND. ROBINSON, APT #5, SAN JUAN, PR 00907-2349
(787) 531-1247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2740
PR
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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