Provider Demographics
NPI:1841324282
Name:VALDEZ, VICTOR O (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:O
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1959 CALLE FORTUNA
Mailing Address - Street 2:URB VISTA ALEGRE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2304
Mailing Address - Country:US
Mailing Address - Phone:787-640-8224
Mailing Address - Fax:188-834-7927
Practice Address - Street 1:1959 CALLE FORTUNA
Practice Address - Street 2:URB VISTA ALEGRE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2304
Practice Address - Country:US
Practice Address - Phone:787-640-8224
Practice Address - Fax:188-834-7927
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2013-09-28
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Provider Licenses
StateLicense IDTaxonomies
PR5498207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR25695OtherSSS