Vivaldi Pico, Jose G

Vivaldi Pico, Jose G is an sole proprietor health care provider with primary practice located at Carr 130 Km 9.9 Bo Campo Alegre, Hatillo PR 00659-8823. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Vivaldi Pico, Jose G can be contacted via phone (787) 262-8808.

Contact Information

Primary practice address
Carr 130 Km 9.9 Bo Campo Alegre Hatillo PR 00659-8823
Phone: (787) 262-8808
Fax: (787) 262-8808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 13164 Puerto Rico

Profile Details

NPI number 1053354720
LBN Legal business name Vivaldi Pico, Jose G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Jan 30th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053354720 NPPES
Puerto Rico MEDICAID 90273

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