Provider Demographics
NPI:1568439867
Name:TORIBIO, VICTOR R (IDC)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:R
Last Name:TORIBIO
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC466 BOX 3
Mailing Address - Street 2:
Mailing Address - City:FPO AP -
Mailing Address - State:BRITISH INDIAN OCEAN TERRITY
Mailing Address - Zip Code:FPO AP
Mailing Address - Country:IO
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC466 BOX 3
Practice Address - Street 2:
Practice Address - City:FPO AP -
Practice Address - State:BRITISH INDIAN OCEAN TERRITY
Practice Address - Zip Code:FPO AP
Practice Address - Country:IO
Practice Address - Phone:246-370-4222
Practice Address - Fax:246-370-4217
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman