Individual provider · Type 1 NPI

Carmen C. Vivero, MD

Addiction Medicine (Internal Medicine) Physician · St. Augustine, FL

NPI number 1316012743 Active

Practice location

1301 Plantation Island Dr S, Suite 402-B
St. Augustine, FL 32080-3108

Call (904) 460-0707 Map

Fax (904) 460-0727

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XME0076599 (FL)

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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About NPI 1316012743

Carmen C. Vivero, MD's National Provider Identifier is 1316012743, issued on Nov 21, 2006. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 19, 2011.