| Doctor Name: | DR. RODRIGO VIVAS |
| NPI Number: | 1578598900 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 15564 |
| Business Practice Address: | 1597 South, State Road 7 Centro Medico Samaritano North Lauderdale, FL - 33068 |
| Business Phone Number: | 7542052376 |
| Business Fax Number: | 7542057523 |
| Mailing Address: | 1597 S State Road 7, Centro Medico Samaritano NORTH LAUDERDALE |
| State: | FL |
| Postal Code: | 330684603 |
| Phone Number: | 7542052376 |
| Fax Number: | 7542057523 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15564 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |