Isidro Vivanco MD

NPI 1003860461 - General Practice - 208D00000X

NPI Details
NPI 1003860461
Gender Male
Enumeration Date 05/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
440 W 49TH ST
HIALEAH FL, 33012-3603, US
Phone (305) 828-5000
Fax
Business Location
3191 CORAL WAY
CORAL GABLES FL, 33145-3213, US
Phone (305) 461-6060
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number ME0022225
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According to our database, Dr. Isidro Vivanco MD NPI is 1003860461, taxonomy code is 208D00000X and license number is ME0022225, license state is located at Florida. Isidro Vivanco MD physically located at 440 W 49th St, Hialeah FL, 33012-3603. NPI Number Isidro Vivanco MD has the Individual type.

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1003860461 NPI number is provided on an as is basis without warranty of any kind. 1003860461 is maintained by the National Plan & Provider Enumeration System. The contents of Isidro Vivanco MD are for informational purposes only.