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NPI Code Detail

MEDICARE: VITOR G PAIVA

MEDICARE: VITOR G PAIVA
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
11710I1003XIndependent Duty Medical TechniciansTX

General Provider Information

NPI Number : 1134914047
Entity Type Code : Individual
Provider Name (Legal Business Name) : VITOR G PAIVA
Provider Business Mailing Address
First Line : 420 POLIFKA DR
Second Line :
City : SHAW AFB
State : SC
Zip : 29152-5100
Country : US
Telephone Number : 803-895-6356
Fax Number :
Provider Business Practice Location Address
First Line : 1515 TRUEMPER ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78236-5583
Country : US
Telephone Number : 210-292-0515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2025
Last Update Date : 01/30/2026

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Directions to “ VITOR G PAIVA ” Practice Location

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