Provider Demographics
NPI:1932148905
Name:FLAUTA, VICTOR SANTOS (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:SANTOS
Last Name:FLAUTA
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 1:4017 CALAIS CT
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9348
Mailing Address - Country:US
Mailing Address - Phone:209-338-4730
Mailing Address - Fax:
Practice Address - Street 1:5631 N FIGARDEN DR
Practice Address - Street 2:SUITE 107
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-3577
Practice Address - Country:US
Practice Address - Phone:559-439-5950
Practice Address - Fax:559-439-5945
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.092311207ZM0300X
CAA97993208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207ZM0300XAllopathic & Osteopathic PhysiciansPathologyMedical Microbiology