DR. WILLIAM RODRIGO VIVAS (NPI# 1053467993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053467993 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM RODRIGO VIVAS |
| Credential | DPM |
| Practice Address |
4930 E Lake Mary Blvd Sanford FL 32771-5003 |
| Practice Telephone | 4073228645 |
| Practice Fax Number | 4073305074 |
| Mailing Telephone | 4073228645 |
| Mailing Fax Number | 4073305074 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO 1733 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016877500 | 05 |
| Street Address |
4930 E LAKE MARY BLVD |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901497 | Hector Octaviani | Pediatrics | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2005-06-13 |
| 1093349433 | Marcell Bailey | Nurse Practitioner | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2020-02-25 |
| 1174157614 | Gloria Isabel Torrens | Nurse Practitioner | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2020-02-24 |
| 1720627300 | Wendy Joseph | Family Medicine | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2019-12-31 |
| 1942706585 | Allison Conley | Nurse Practitioner | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2018-04-03 |
| 1215435151 | Candace Folch | Physician Assistant | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2018-01-25 |
| 1083093355 | Kimcheree Jackson | Nurse Practitioner | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2015-05-20 |
| 1134514870 | Myra White | Advanced Practice Midwife | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2015-03-31 |
| 1760875124 | Theresa Laura Mantle | Nurse Practitioner | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2015-03-10 |
| 1700291176 | Luisa Ozema Mena | General Practice | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2014-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264826 | Upperline Healthcare, PC | Podiatrist | 819 E Oak St Ste B, Kissimmee, FL 34744-5842 | 2020-07-31 |
| 1801406236 | Upperline Healthcare, PC | Podiatrist | 499 E Central Pkwy Ste 120, Altamonte Springs, FL 32701-3449 | 2020-07-31 |
| 1841800281 | Upperline Healthcare, PC | Podiatrist | 7148 Curry Ford Rd Ste 300, Orlando, FL 32822-5803 | 2020-07-31 |
| 1497365829 | Upperline Healthcare, PC | Podiatrist | 6000 Turkey Lake Rd Ste 108, Orlando, FL 32819-4205 | 2020-07-31 |
| 1427668854 | Upperline Healthcare, PC | Podiatrist | 1381 Citrus Tower Blvd Ste 103, Clermont, FL 34711-1957 | 2020-07-31 |
| 1639654148 | Kenneth Shapiro | Podiatrist | 7209 Promenade Dr Apt 601, Boca Raton, FL 33433-2809 | 2018-10-01 |
| 1558872549 | Edward Nathan Szerlip | Podiatrist | 11960 Northwest 26 Street, Plantation, FL 33323-3332 | 2017-10-17 |
| 1174903686 | Maria Lilia Fundora Cabrera | Podiatrist | 1380 Ne Miami Gardens Dr 209, Miami, FL 33179-4709 | 2015-06-01 |
| 1285027599 | Naples Podiatry | Podiatrist | 4763 Tamiami Trail North, Naples, FL 34103 | 2015-03-11 |
| 1548667314 | Louis Joseph Falletta | Podiatrist | 410 Se 28th Ave, Pompano Beach, FL 33062-6130 | 2014-11-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.