Provider Demographics
NPI:1942703525
Name:CAMPOS, VICTOR YOSEF MELT (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR YOSEF MELT
Middle Name:
Last Name:CAMPOS
Suffix:
Gender:M
Credentials:MD
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 44008
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-383-1002
Mailing Address - Fax:904-244-5965
Practice Address - Street 1:655 WEST 8TH STREET
Practice Address - Street 2:ACC BUILDING 4TH FLOOR
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-4146
Practice Address - Country:US
Practice Address - Phone:201-675-8242
Practice Address - Fax:904-244-5965
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1300207Q00000X, 208D00000X
PR21918208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR14612-IOtherJUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA - DEPARTAMENTO DE SALUD DE PR