Provider Demographics
NPI:1528720851
Name:ARVIZU-BECERRA, VICTOR LEONEL (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:LEONEL
Last Name:ARVIZU-BECERRA
Suffix:
Gender:M
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4787 PRESERVE ST
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2340
Mailing Address - Country:US
Mailing Address - Phone:954-531-7079
Mailing Address - Fax:
Practice Address - Street 1:1901 S CONGRESS AVE STE 420
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6588
Practice Address - Country:US
Practice Address - Phone:561-733-6388
Practice Address - Fax:561-733-6361
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009606363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner