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Active NPI 1053354720 Individual Practitioner Male Practitioner

Dr. Jose G Vivaldi Pico , MD

General Practice • Hatillo, PR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Vivaldi Pico, MD is a certified General Practice practicing in Hatillo, PR. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Vivaldi Pico delivers high-quality medical care to the local community at CARR 130 KM 9.9.

Dr. Vivaldi Pico accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Carr 130 Km 9.9
Bo Campo Alegre

Hatillo, PR 006598823

Telephone 7872628808
Fax 7872628808

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hatillo, PR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +2.8 yrs vs City Avg
City Avg: 26.2 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
61 Specialists

Practicing in Hatillo, PR (4449 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vivaldi Pico (29 Years) 29 Yrs
Hatillo Specialty Average (26.2 Years) 26.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
61 14 $35.61 $35.22

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 13164

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
90273 (PR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2017

Registered at CARR 130 KM 9.9, BO CAMPO ALEGRE, HATILLO, PR 006598823 (Tel: 7872628808)

📍
Updated Business Mailing Address January 30, 2017

Registered at PO BOX 1823, HATILLO, PR 006598823 (Tel: 7872628808)

👤
Provider Name / Credentials Updated January 30, 2017

Recorded as JOSE VIVALDI PICO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

General Practice (License #13164 in PR)

NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2013

Registered at ROAD 111 KM 1.9, LOS PATRIOTAS AVE., LARES, PR 006690379 (Tel: 7878972727)

📍
Updated Business Mailing Address July 18, 2013

Registered at PO BOX 379, LOS PATRIOTAS AVE., LARES, PR 006690379 (Tel: 7878972727)

👤
Provider Name / Credentials Updated July 18, 2013

Recorded as JOSE VIVALDI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

General Practice (License #13164 in PR)

🟢
Initial NPI Registration & Enumeration June 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053354720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: January 30, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 1823

Hatillo, PR 006598823

Phone: 7872628808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.