Dr. Keivan A Tavakoli, MD
General Practice in San Juan, Puerto Rico
1386242253- Practice location
- Po Box 364708, San Juan, PR 00936-4708
- Phone
- 787-758-8383
- Fax
- —
- Last updated
- December 9, 2024
Keivan A Tavakoli is a General Practice based in San Juan, PR. Keivan A Tavakoli practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Keivan A Tavakoli is 1386242253 and holds a License No. ACN1322 (FL). The current practice location address for Keivan A Tavakoli is Po Box 364708, San Juan, PR 00936-4708 and can be reached out via phone at 787-758-8383.
Provider Profile Details
- NPI Number
- 1386242253
- Provider Name
- Keivan A Tavakoli
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Po Box 364708, San Juan, PR 00936-4708
- Phone Number
- 787-758-8383
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 13, 2020
- Last Update Date
- December 9, 2024
- Certification Date
- December 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Po Box 364708
San Juan, PR 00936-4708 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00936-4708
- Phone Number
- 787-758-8383
Provider Business Mailing Address Details
- Address
- 153 Calle Ebano
Guaynabo, PR 00968-3423 - City
- Guaynabo
- State
- PR
- Zip
- 00968-3423
- Phone Number
- 703-474-0096
License Information
- License Number (1)
- ACN1322
- License State (1)
- FL
- Taxonomy (1)
- General Practice · 208D00000X
- License Number (2)
- 22049
- License State (2)
- PR
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Keivan A Tavakoli, MD?
The NPI number of Dr. Keivan A Tavakoli, MD is 1386242253. It was assigned on October 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Keivan A Tavakoli, MD?
Dr. Keivan A Tavakoli, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in FL under license number ACN1322.
Where does Dr. Keivan A Tavakoli, MD practice?
The practice location is Po Box 364708, San Juan, PR 00936-4708. The office can be reached at 787-758-8383 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386242253 directly on the NPPES registry website.