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JOSE G VIVALDI PICO M.D.
NPI 1053354720
General Practice in Hatillo, PR

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
CARR 130 KM 9.9, BO CAMPO ALEGRE, HATILLO, PR 00659(787) 262-8808(787) 262-8808 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose G Vivaldi Pico M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE G VIVALDI PICO M.D. (NPI 1053354720) is an individual general practice provider in Hatillo, Puerto Rico, licensed in Puerto Rico (13164) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1053354720
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSE G VIVALDI PICOCredential: M.D.
Location AddressCARR 130 KM 9.9, BO CAMPO ALEGREHatillo, PR 00659-8823
Mailing AddressPo Box 1823Hatillo, PR 00659-8823 · (787) 262-8808 · Fax (787) 262-8808
Phone(787) 262-8808
Fax(787) 262-8808
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJune 13, 2006
Last NPPES UpdateJanuary 30, 2017
✔ NPI 1053354720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 13164
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
CARR 130 KM 9.9, Hatillo, PR 00659
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Other Identifiers 2

Medicaid90273PR
Medicare UPINH55620PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose G Vivaldi Pico M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618135542
PECOS Enrollment IDI20120223000774
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Vivaldi Pico's NPI number?

The NPI number for Jose Vivaldi Pico is 1053354720. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Jose Vivaldi Pico located?

Jose Vivaldi Pico practices at Carr 130 Km 9.9 Bo Campo Alegre, Hatillo, PR 00659. The listed phone number is (787) 262-8808.

What is Jose Vivaldi Pico's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jose Vivaldi Pico enrolled in Medicare?

Yes. Jose Vivaldi Pico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Vivaldi Pico was last updated on January 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.