Daniel Alejandro Victoria

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

440 Sawgrass Corporate Pkwy
Sunrise, FL 33325-6244

Phone

(954) 745-1112

Fax

(954) 745-1120

NPI assigned

Jan 9, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Lubin PHD

  • Developmentally Disabled Services Day Training Agency
  • Sunrise, FL
  • NPI 1326216979
  NPD (past)
• Shana J. Williams, Psy.D., LLC

  • Psychologist
  • Sunrise, FL
  • NPI 1295186120

  Cognitive & Behavioral

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1063929396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 SW 118TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833805",
            "telephone_number": "305-846-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256244",
            "telephone_number": "954-745-1112",
            "fax_number": "954-745-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "DANIEL",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697578",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dionne Okolo Lisa Vernon, DPT
• Janice Karen Veronese, MOTR
• Viviene Neriz Villanueva Vicedo
• Victirian Assisted Living Facility
• Marlie Victor
• Monica Vidal
• Estella Grace Viguilla
• Ruth Villalon, RN CCM
• Lady S Villalona, MA, SLP
• Josephine Najera Villanueva

• Cognitive & Behavioral Psychologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Cognitive & Behavioral Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.