Provider Demographics
NPI:1497361117
Name:RIVERA BELTRAN, VICTOR FRANCISCO SR (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:FRANCISCO
Last Name:RIVERA BELTRAN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:455 CALLE LIRIO
Mailing Address - Street 2:MANSIONES DE RIO PIEDRAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-448-5271
Mailing Address - Fax:
Practice Address - Street 1:455 CALLE LIRIO
Practice Address - Street 2:MANSIONES DE RIO PIEDRAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-448-5271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21989208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice