MEDICARE: DR. ROBERTO J. VIETO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G2502	TX

General Provider Information

NPI Number	:	1417985573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO J. VIETO M.D.

Provider Business Mailing Address
First Line	:	1401 S RANGERVILLE RD
Second Line	:	BLDG. 503
City	:	HARLINGEN
State	:	TX
Zip	:	78552-7638
Country	:	US
Telephone Number	:	956-364-8412
Fax Number	:	956-364-8497

Provider Business Practice Location Address
First Line	:	1401 S RANGERVILLE RD
Second Line	:	BLDG. 503
City	:	HARLINGEN
State	:	TX
Zip	:	78552-7638
Country	:	US
Telephone Number	:	956-364-8412
Fax Number	:	956-364-8497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/04/2008

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