MR. Ivan Vivanco, APRN is a pediatrics nurse practitioner in Doral, FL. MR. Ivan Vivanco, APRN NPI is 1114418878. 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:
9655 NW 41ST ST
DORAL, FL
ZIP 33178-973
Phone: (305) 436-1563
Fax: (305) 436-1564
The enumeration date for this NPI number is 5/29/2018 and was last updated on 12/6/2019.