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

Jose G Vivaldi Pico, MD

Individual provider General Practice Physician · NPI 1053354720

Jose G Vivaldi Pico, MD is a General Practice in Hatillo, Puerto Rico. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
29
Licensed in
PR
In the registry since
2006
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.

Carr 130 Km 9.9 Bo Campo Alegre
Hatillo, PR 00659-8823
Phone: (787) 262-8808
Fax: (787) 262-8808

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 13164 (PR)

Record details

NPI number1053354720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2006
Last updated in NPPESJanuary 30, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hatillo