Dr Manuel L Vivero, MD is a
Pediatrics physician based in Delavan, Wisconsin. Dr Manuel L Vivero is licensed to practice in Wisconsin (license number 34182) and his current practice location is 1550 Hobbs Dr, Delavan, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 740-4200.
NPI number for Dr Manuel L Vivero is 1568579597 and his current mailing address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568579597.
Physician's Profile
Full Name | Dr Manuel L Vivero |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1550 Hobbs Dr, Delavan, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568579597
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Dr Manuel L Vivero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568579597 | NPI | - | NPPES |
31922800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 34182 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Manuel L Vivero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Manuel L Vivero, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Manuel L Vivero, MD 1550 Hobbs Dr, Delavan, WI 53115 Ph: (262) 740-4200 |
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