Basic Information
| Provider Information | |||||||||
| NPI: | 1659449627 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VIERA-CABAN | ||||||||
| FirstName: | LUIS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1442 | ||||||||
| Address2: | |||||||||
| City: | MANATI | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006741442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878840060 | ||||||||
| FaxNumber: | 7878120565 | ||||||||
| Practice Location | |||||||||
| Address1: | TORRE MEDICA I | ||||||||
| Address2: | EDIFICIO PEDRO BLANCO LUGO SUITE 214 | ||||||||
| City: | MANATI | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006744863 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878840060 | ||||||||
| FaxNumber: | 7878120565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2006 | ||||||||
| LastUpdateDate: | 03/06/2012 | ||||||||
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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 | 208800000X | 10258 | PR | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.