Provider Demographics
NPI:1841368594
Name:ALBINO, VIVIAN MARIE (MD)
Entity type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:MARIE
Last Name:ALBINO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:BEGONIA ST #1794
Mailing Address - Street 2:MANSIONES DE RIO PIEDRAS
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-283-3052
Mailing Address - Fax:787-257-2165
Practice Address - Street 1:AVENIDA FIDALGO DIAZ #4SS2
Practice Address - Street 2:VILLA FONTANA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00928
Practice Address - Country:US
Practice Address - Phone:787-257-2260
Practice Address - Fax:787-257-2165
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2010-01-27
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Provider Licenses
StateLicense IDTaxonomies
PR12202208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
H55195Medicare UPIN
PR20227Medicare ID - Type Unspecified