Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Carmen C Vivero, MD

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1316012743

Dr. Carmen C Vivero, MD is an Addiction Medicine (Internal Medicine) Physician in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1301 Plantation Island Dr S Ste 402-B
St Augustine, FL 32080-3108
Phone: (904) 460-0707
Fax: (904) 460-0727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence ME0076599 (FL)

Record details

NPI number1316012743
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESAugust 19, 2011