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

Individual provider General Practice Physician · NPI 1386242253

Dr. Keivan A Tavakoli, MD is a General Practice Physician in San Juan, Puerto Rico. Licensed in Florida and Puerto Rico. Registered with an NPI since 2020.

Licensed in
FL, PR
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

PO Box 364708
San Juan, PR 00936-4708
Phone: (787) 758-8383

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 22049 (PR)
General Practice Physician Taxonomy 208D00000X · Licence ACN1322 (FL)

Record details

NPI number1386242253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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