Provider Demographics
NPI:1104862119
Name:QUIROZ, VICTOR H (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:H
Last Name:QUIROZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:180 AVE DE HOSTOS
Mailing Address - Street 2:APARTMENT 127
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4638
Mailing Address - Country:US
Mailing Address - Phone:787-764-0000
Mailing Address - Fax:787-764-3825
Practice Address - Street 1:180 AVE DE HOSTOS
Practice Address - Street 2:APARTMENT 127
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4638
Practice Address - Country:US
Practice Address - Phone:787-764-0000
Practice Address - Fax:787-764-3825
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR11241208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice