MEDICARE: VIVA AUDIOLOGY CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist

General Provider Information

NPI Number	:	1558073593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVA AUDIOLOGY CLINIC LLC

Provider Business Mailing Address
First Line	:	150 CONECTOR C APT 201
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-2267
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	359 CALLE SAN CLAUDIO STE 300B
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4257
Country	:	US
Telephone Number	:	787-474-9313
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	DR. CRISTINA A. RIVERA FEBRES
Credential	:	AUD
Telephone Number	:	787-469-5483

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	12/11/2025

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