Doctor Name: | DR. VICTOR M ALMANZAR ALCANTARA |
NPI Number: | 1699908830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 17719 |
Business Practice Address: | 1303 Homestead Rd N Ste 102 Lehigh Acres, FL - 339366049 |
Business Phone Number: | 2393032700 |
Business Fax Number: | 2393032756 |
Mailing Address: | Extencion Villa Rita, Calle 30 Ee20 SAN SEBASTIAN |
State: | PR |
Postal Code: | 00685 |
Phone Number: | 7879237160 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2009 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17719 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |