Provider Demographics
NPI:1689216657
Name:SANFIORENZO, VICTORIA FERNANDA (DPT)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:FERNANDA
Last Name:SANFIORENZO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 KINGS COURT
Mailing Address - Street 2:APT 9A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911
Mailing Address - Country:US
Mailing Address - Phone:787-231-2403
Mailing Address - Fax:
Practice Address - Street 1:179 CALLE TAFT
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-2011
Practice Address - Country:US
Practice Address - Phone:877-614-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist