Mr. Ivan Vivanco is a Doral, Florida based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mr. Ivan Vivanco is APRN9455497 for Pediatrics in Florida. His current practice location is 9655 Nw 41st St, Doral. Patients can reach him at 305-436-1563 or can fax him at 305-436-1564. Mr. Ivan Vivanco is APRN with specialization in Pediatrics and his NPI number (Unique professional ID assigned by NPPES) is 1114418878. Mr. Ivan Vivanco specializes in caring for newborns, infants, toddlers, adolescents and young adults. He perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mr. Ivan Vivanco speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114418878
NPI Enumeration Date:
29 May, 2018
NPI Last Update On:
06 Dec, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ivan Vivanco are as mentioned below.
License Number
Specialization
State
Status
APRN9455497
Pediatrics
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ivan Vivanco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
104828000
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Ivan Vivanco 900 S Pine Island Rd Ste 800, Plantation, Florida
Zip:
33324-3923
Phone Number:
305-436-1563
Fax Number:
305-436-1564
Patients can reach Mr. Ivan Vivanco at 9655 Nw 41st St, Doral, Florida or can call to book an appointment on 305-436-1563.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.