Provider Demographics
NPI:1477765188
Name:ESCRIBANO, VICTOR JOSUAN (MT)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:JOSUAN
Last Name:ESCRIBANO
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1364
Mailing Address - Street 2:
Mailing Address - City:SABANA HOYOS
Mailing Address - State:PR
Mailing Address - Zip Code:00688-1364
Mailing Address - Country:US
Mailing Address - Phone:939-717-4962
Mailing Address - Fax:
Practice Address - Street 1:CARR. 639
Practice Address - Street 2:KM 4.8
Practice Address - City:SABANA HOYOS
Practice Address - State:PR
Practice Address - Zip Code:00688-1364
Practice Address - Country:US
Practice Address - Phone:939-717-4962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6451246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist