IndividualActive
Carmen Vivero, M.D.
NPI 1316012743 · Addiction Medicine (Internal Medicine) Physician · St Augustine, FL
Provider details
- NPI number
- 1316012743
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- ME0076599 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1301 Plantation Island Dr S
Suite 402-B
St Augustine, FL 32080-3108
Phone: (904) 460-0707
Fax: (904) 460-0727
Approximate (ZIP-level) locationGet directions
Mailing address
1301 Plantation Island Dr S
St Augustine, FL 32080-3108
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2011-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.