Individual
DR. RODRIGO VIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1597 SOUTH, STATE ROAD 7, CENTRO MEDICO SAMARITANO, NORTH LAUDERDALE, FL 33068
(754) 205-2376
(754) 205-7523
Mailing address
1597 S STATE ROAD 7, CENTRO MEDICO SAMARITANO, NORTH LAUDERDALE, FL 33068-4603
(754) 205-2376
(754) 205-7523
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15564
PR
208D00000X
General Practice Physician
Primary
ACN 337
FL
Other
Enumeration date
07/12/2006
Last updated
02/18/2015
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