Individual
JEFFREY VIVEIROS
Active
Individual
JEFFREY VIVEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2285490
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050483739
TAX ID #
—
05
—
1740666932
—
RI
01
—
709004046
MEDICARE GROUP PTAN
RI
Enumeration date
08/11/2015
Last updated
09/11/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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