Provider Demographics
NPI:1932112646
Name:AROCHO MARTINEZ, VICTOR F (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:F
Last Name:AROCHO MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:112 SAN TOMAS, EL PILAR
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-855-2564
Mailing Address - Fax:787-855-2564
Practice Address - Street 1:1790 PLAZA OLMEDO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9673
Practice Address - Country:US
Practice Address - Phone:787-855-2564
Practice Address - Fax:787-855-2564
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11113208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF55330Medicare UPIN