Individual provider · Type 1 NPI

Keivan A. Tavakoli, MD

General Practice Physician · San Juan, PR

NPI number 1386242253 Active

Practice location

PO Box 364708
San Juan, PR 00936-4708

Call (787) 758-8383 Map

Mailing address

153 Calle Ebano
Guaynabo, PR 00968-3423

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XACN1322 (FL)
General Practice Physician Primary 208D00000X22049 (PR)

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

4 other providers at this address

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About NPI 1386242253

Keivan A. Tavakoli, MD's National Provider Identifier is 1386242253, issued on Oct 13, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Juan, PR. The record was last updated on Dec 9, 2024.