Jose G Vivaldi Pico, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13164 Issued in PR

Practice address

Carr 130 KM 9.9
Bo Campo Alegre
Hatillo, PR 00659-8823

Phone

(787) 262-8808

Fax

(787) 262-8808

NPI assigned

Jun 13, 2006

Last updated

Jan 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1053354720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1823",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006598823",
            "telephone_number": "787-262-8808",
            "fax_number": "787-262-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 130 KM 9.9",
            "address_2": "BO CAMPO ALEGRE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006598823",
            "telephone_number": "787-262-8808",
            "fax_number": "787-262-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVALDI PICO",
        "first_name": "JOSE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90273",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Elaine Velez
• Jahir Sebastian Velez
• Luis Felipe Velez
• Vinculo Psychology LLC
• Virna L Martinez Colon (farmacia campo alegre)
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-1854)
• Wal-Mart Puerto Rico Inc (Sam's Optical Center 30-6270)
• Wal-Mart Puerto Rico Inc (Sam's Pharmacy 10-6270)
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-1854)
• Walgreen Co (Walgreens #1456)

• General Practice Physician in Hatillo, PR
• Providers in Hatillo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.