Provider Demographics
NPI:1467749275
Name:ROSALES, VICTOR H (ATP)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:H
Last Name:ROSALES
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 W GARDENIA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3220
Mailing Address - Country:US
Mailing Address - Phone:956-457-6893
Mailing Address - Fax:
Practice Address - Street 1:120 N 20TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6902
Practice Address - Country:US
Practice Address - Phone:945-971-8646
Practice Address - Fax:956-687-2281
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other