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General NPI Number Information
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NPI Number | 1700705977
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Entity Type | Organization
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Legal Business Name | VIVANOVAMED LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON STE 308
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City | SAN JUAN
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State | PR
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Zip | 00909-1917
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Country | US
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Telephone | 305-450-4989
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 CALLE SANTA BRIGIDA
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City | SAN JUAN
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State | PR
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Zip | 00926-4240
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Country | US
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Telephone | 305-450-4989
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MRS. SARAHI RODRIGUEZ PEREZ
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Credential | MD
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Telephone | 305-450-4989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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