Healthcare Provider Details

I. General information

NPI: 1073434338
Provider Name (Legal Business Name): VIVIANA ESTEFANIA ARCE DAVILA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 GRAND CONCOURSE
BRONX NY
10457-7679
US

IV. Provider business mailing address

305 W 150TH ST APT 709
NEW YORK NY
10039-2232
US

V. Phone/Fax

Practice location:
  • Phone: 718-590-1800
  • Fax:
Mailing address:
  • Phone: 787-243-9069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number067179
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: