DR. ANTONIO ALBERTO VIVALDI MD NPI 1104995976

NPI Information

  • NPI: 1104995976
  • Provider Name: DR. ANTONIO ALBERTO VIVALDI, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: CALLE POST 509 SUR
    MAYAGUEZ, PR
    ZIP 00680
  • Phone: (787) 833-7650

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NPI Details

DR. Antonio Alberto Vivaldi, MD is a general practice in Mayaguez, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Antonio Alberto Vivaldi, MD NPI is 1104995976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CALLE POST 509 SUR
MAYAGUEZ, PR
ZIP 00680
Phone: (787) 833-7650
Fax: (787) 265-3310

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

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
1208D00000XGeneral Practice12740PUERTO RICOYes

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
189452MEDICARE ID-TYPE UNSPECIFIEDPUERTO RICO

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: 11/21/2025

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