WILLIAM R VIVAS DPM PA NPI 1629191127

NPI Information

NPI: 1629191127
Provider Name: WILLIAM R VIVAS DPM PA
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
330 SW 27TH AVE
SUITE# 408A
MIAMI, FL
ZIP 33135
Phone: (305) 542-5153
Get Directions

WILLIAM R VIVAS DPM PA is a foot surgery podiatrist in Miami, FL. WILLIAM R VIVAS DPM PA NPI is 1629191127. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

330 SW 27TH AVE
SUITE# 408A
MIAMI, FL
ZIP 33135-961
Phone: (305) 542-5153
Fax: (305) 642-5213

The provider's authorized official is William R Vivas .
The authorized official title is President and has the following contact phone number (305) 642-5153.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	PO1733	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T55584	MEDICARE UPIN	FLORIDA
2	87883	OTHER	FLORIDA	BCBS
3	041398400	MEDICAID	FLORIDA
4	87883	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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