Provider Demographics
NPI:1538563903
Name:AGUIN MELENDEZ, VICTOR JOSE (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:JOSE
Last Name:AGUIN MELENDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3133 MARSH ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-5322
Mailing Address - Country:US
Mailing Address - Phone:843-655-0004
Mailing Address - Fax:
Practice Address - Street 1:3133 MARSH ISLAND DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-5322
Practice Address - Country:US
Practice Address - Phone:843-655-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301105738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine