Provider Demographics
NPI:1346291879
Name:ARRIETA IGARTUA, VICTOR R (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:R
Last Name:ARRIETA IGARTUA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:COND SIERRA DEL SOL
Mailing Address - Street 2:APTO L 177
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1785 CARR 21 URB LAS LOMAS
Practice Address - Street 2:HOSPITAL METROPOLITANO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922
Practice Address - Country:US
Practice Address - Phone:787-783-6670
Practice Address - Fax:787-761-0613
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2010-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR8617207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0081656Medicare PIN