MEDICARE: DR. VICTOR M ALMANZAR ALCANTARA 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	208D00000X	General Practice Physician	17719	PR
2	208D00000X	General Practice Physician	ACN424	FL

General Provider Information

NPI Number	:	1699908830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR M ALMANZAR ALCANTARA M.D

Provider Business Mailing Address
First Line	:	210 SEBRING SQ
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-1622
Country	:	US
Telephone Number	:	863-658-5066
Fax Number	:	863-304-8792

Provider Business Practice Location Address
First Line	:	210 SEBRING SQ
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-1622
Country	:	US
Telephone Number	:	863-658-5066
Fax Number	:	863-304-8792

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

Provider Enumeration Date	:	09/03/2009
Last Update Date	:	03/14/2025

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