Provider Demographics
NPI:1699741470
Name:RODRIGUEZ-VIERA, VICTOR E (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:E
Last Name:RODRIGUEZ-VIERA
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 1:1820 43RD AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-0574
Mailing Address - Country:US
Mailing Address - Phone:772-562-1204
Mailing Address - Fax:
Practice Address - Street 1:1820 43RD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-0574
Practice Address - Country:US
Practice Address - Phone:772-562-1204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0020943174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist