Active NPI
Victor Serafin
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1083016208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- C5635
- Practice address
- 5701 Carmel Ave NE
Albuquerque, NM 87113-2842 - Phone
- (505) 821-5107
- NPI assigned
- Sep 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | C5635 | NM | Primary |
Addresses
Primary practice location
5701 Carmel Ave NE
Albuquerque, NM 87113-2842
Mailing address
4103 Mercury Cir SE
Albuquerque, NM 87116-3009
Phone (505) 507-5988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5635 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1083016208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4103 MERCURY CIR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871163009",
"telephone_number": "505-507-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 CARMEL AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132842",
"telephone_number": "505-821-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERAFIN",
"first_name": "VICTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "C5635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.