Organization Active NPI

Aviva Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
National Provider Identifier
1891036745
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AVIVA MEDICAL, LLC
Practice address
60943 E Cantle CT
Tucson, AZ 85739-5927
Phone
(520) 488-8418
NPI assigned
Mar 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Mr. Guillermo Herrera
Title
Ceo
Phone
(520) 488-8418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

60943 E Cantle CT
Tucson, AZ 85739-5927

Mailing address

60943 E Cantle CT
Tucson, AZ 85739-5927
Phone (520) 488-8418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1891036745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60943 E CANTLE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857395927",
            "telephone_number": "520-488-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60943 E CANTLE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857395927",
            "telephone_number": "520-488-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-488-8418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.