Organization
CVP MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR J VENEGAS M.D. (INTERNAL MEDICINE)
(787) 881-4507
Entity
Organization
Contact information
Practice address
CALLE PRICIPAL 54, MOROVIS, PR 00687-0000
(787) 881-4507
(787) 881-4507
Mailing address
PO BOX 389, MOROVIS, PR 00687-0389
(787) 881-4507
(787) 881-4507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10900
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6169
CORP. NUMBER
PR
Enumeration date
05/28/2010
Last updated
05/28/2010
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