Enriqueta Vivas, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11547 Issued in PR

Practice address

Corp Fondo del Seguro del Estado
Parque Escorial
Carolina, PR 00987

Phone

(787) 757-6850

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417070285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-752-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORP FONDO DEL SEGURO DEL ESTADO",
            "address_2": "PARQUE ESCORIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-757-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVAS",
        "first_name": "ENRIQUETA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Manuel Villegas, MCSW
• Vimar Therapy Group Inc
• Vimar Therapy Group, Inc.
• Amelia V. Vinas, M.D.
• Vitass International, LLC (Care4U de Puerto Rico)
• Lidgia R Vives Castro, M.D.
• Mayte Luciele Vizcarrondo
• Ramon A Vizcarrondo, MD
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2423)
• Wal-Mart Puerto Rico Inc (Vision Center 30-2423)

• General Practice Physician in Carolina, PR
• Providers in Carolina, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.