MEDICARE: VIVIAN Y PUPO

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	106S00000X	Behavior Technician	RBT-23-308377	DC

General Provider Information

NPI Number	:	1861268088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN Y PUPO

Provider Business Mailing Address
First Line	:	16902 NE 21ST AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3306
Country	:	US
Telephone Number	:	786-203-1128
Fax Number	:

Provider Business Practice Location Address
First Line	:	16902 NE 21ST AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3306
Country	:	US
Telephone Number	:	786-203-1128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/29/2023

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1124328851 — EDUARDO GOMEZ CRNA
Practice Location Address:

2047 NE 121ST RD
NORTH MIAMI, FL
33181-3306

Practice Phone: 305-951-8371
Practice Fax: 305-868-3731

1730205188 — DR. ARNOLD FOX ROTHMAN D.D.S.
Practice Location Address:

939 ARTHUR GODFREY RD
MIAMI BEACH, FL
33140-3306

Practice Phone: 305-534-2002
Practice Fax: 305-532-4841

1417178534 — DR. MONA M. ABRAMOWITZ D.M.D.
Practice Location Address:

939 ARTHUR GODFREY RD
MIAMI BEACH, FL
33140-3306

Practice Phone: 305-534-2002
Practice Fax: 305-532-4841

1780999003 — DR. EVAN GEOFFREY RUBENSTEEN DMD, MS
Practice Location Address:

939 ARTHUR GODFREY RD
MIAMI BEACH, FL
33140-3306

Practice Phone: 305-672-2260
Practice Fax:

1891546578 — EVAN RUBENSTEEN DMD PA
Practice Location Address:

939 ARTHUR GODFREY RD
MIAMI BEACH, FL
33140-3306

Practice Phone: 305-672-2260
Practice Fax: 206-600-6861

Directions to “ VIVIAN Y PUPO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.