Dr. Isidro Vivanco , MD
General Practice • Hialeah, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Isidro Vivanco has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Isidro Vivanco, MD was a registered General Practice practicing in Hialeah, FL. Throughout an active medical career spanning 14 years, Dr. Vivanco provided care at the practice location at 440 W 49TH ST until profile deactivation on 2020-02-17.
Practice Location & Contact Primary Location
440 W 49th St
Hialeah, FL 330123603
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Hialeah, FL
Practicing in Hialeah, FL (2490 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
General Practice
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 17, 2020
NPI status registered as active in NPPES database
Registered at 440 W 49TH ST, HIALEAH, FL 330123603 (Tel: 3058285000)
Registered at 3191 CORAL WAY, CORAL GABLES, FL 331453213 (Tel: 3054616060)
Recorded as ISIDRO VIVANCO, MD
General Practice (License #ME0022225 in FL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
3191 Coral Way
Coral Gables, FL 331453213
Phone: 3054616060
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