Provider Demographics
NPI:1417985573
Name:VIETO, ROBERTO J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:J
Last Name:VIETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1401 S RANGERVILLE RD
Mailing Address - Street 2:BLDG. 503
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-7638
Mailing Address - Country:US
Mailing Address - Phone:956-364-8412
Mailing Address - Fax:956-364-8497
Practice Address - Street 1:1401 S RANGERVILLE RD
Practice Address - Street 2:BLDG. 503
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-7638
Practice Address - Country:US
Practice Address - Phone:956-364-8412
Practice Address - Fax:956-364-8497
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG2502207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC22978Medicare UPIN
8C7084Medicare PIN