Basic Information
| Provider Information | |||||||||
| NPI: | 1346291879 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARRIETA IGARTUA | ||||||||
| FirstName: | VICTOR | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | COND SIERRA DEL SOL | ||||||||
| Address2: | APTO L 177 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00926 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1785 CARR 21 URB LAS LOMAS | ||||||||
| Address2: | HOSPITAL METROPOLITANO | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877836670 | ||||||||
| FaxNumber: | 7877610613 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 11/30/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 8617 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.