Provider Demographics
NPI:1255010013
Name:VICENTE, LIUVIS (NRCCS)
Entity type:Individual
Prefix:MRS
First Name:LIUVIS
Middle Name:
Last Name:VICENTE
Suffix:
Gender:F
Credentials:NRCCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 TULLY RD APT 20
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5409
Mailing Address - Country:US
Mailing Address - Phone:281-832-1690
Mailing Address - Fax:
Practice Address - Street 1:880 TULLY RD APT 20
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5409
Practice Address - Country:US
Practice Address - Phone:281-832-1690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder