Provider Demographics
NPI:1568951853
Name:BARQUET, VIVIANA (MD)
Entity type:Individual
Prefix:DR
First Name:VIVIANA
Middle Name:
Last Name:BARQUET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 CARR 21 STE 310
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3337
Mailing Address - Country:US
Mailing Address - Phone:787-781-8182
Mailing Address - Fax:
Practice Address - Street 1:1789 CARR 21 STE 310
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3337
Practice Address - Country:US
Practice Address - Phone:787-781-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023014438207WX0009X
PR23502207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist