Active NPI
Victor E Vivoni, M.D.
- Surgery Physician
- Arecibo, PR
National Provider Identifier
1093718652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4208
- Practice address
- Condominio Profesional Arecibo Medical Center
Suite 203 Carr #2 KM 80.1
Arecibo, PR 00614-0310 - Phone
- (787) 878-3397
- Fax
- (787) 880-4104
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4208 | PR | Primary |
Addresses
Primary practice location
Condominio Profesional Arecibo Medical Center
Suite 203 Carr #2 KM 80.1
Arecibo, PR 00614-0310
Mailing address
PO Box 140310
Arecibo, PR 00614-0310
Phone (787) 878-3397
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040108000522 | PR | Practitioner - General Surgery | 6901705805 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Puerto Rico School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
State Rd 2 KM
1 Arecibo Medical Center
Arecibo, PR 00612
Phone (787) 878-3397
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 40 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4208 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1093718652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140310",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006140310",
"telephone_number": "787-878-3397",
"fax_number": "787-880-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO PROFESIONAL ARECIBO MEDICAL CENTER",
"address_2": "SUITE 203 CARR #2 KM 80.1",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006140310",
"telephone_number": "787-878-3397",
"fax_number": "787-880-4104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVONI",
"first_name": "VICTOR",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "4208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.