Healthcare Provider Details

I. General information

NPI: 1528511268
Provider Name (Legal Business Name): VICTOR HUGO MOLINA LOPEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2016
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST BOX 800158
CHARLOTTESVILLE VA
22908-0816
US

IV. Provider business mailing address

PO BOX 361239
SAN JUAN PR
00936-1239
US

V. Phone/Fax

Practice location:
  • Phone: 434-982-0853
  • Fax: 434-982-1998
Mailing address:
  • Phone: 787-391-5594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number21322
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number21322
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number21322
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101288466
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number0101288466
License Number StateVA
# 6
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0101288466
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number21322
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: