Provider Demographics
NPI:1316309487
Name:ARCEGA, VICTOR RIZAL ALTAVAS (MD)
Entity type:Individual
Prefix:
First Name:VICTOR RIZAL
Middle Name:ALTAVAS
Last Name:ARCEGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VICTOR
Other - Middle Name:ALTAVAS
Other - Last Name:ARCEGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:40 MEDICAL PARK STE 404
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6392
Mailing Address - Country:US
Mailing Address - Phone:304-243-2964
Mailing Address - Fax:304-243-6306
Practice Address - Street 1:40 MEDICAL PARK STE 404
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6392
Practice Address - Country:US
Practice Address - Phone:304-243-2984
Practice Address - Fax:304-243-6306
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV30362207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease