Victor Penagos, HSE 11988

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

HSE 11988 Issued in FL

Practice address

22198 Bella Lago Dr Apt 1118
Boca Raton, FL 33433-4839

Phone

(561) 777-9952

NPI assigned

Nov 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Victor Mario Penagos Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1114322070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22198 BELLA LAGO DR APT 1118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334839",
            "telephone_number": "561-419-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22198 BELLA LAGO DR APT 1118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334839",
            "telephone_number": "561-777-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAGOS",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "HSE 11988",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "HSE 11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "PENAGOS",
            "middle_name": "MARIO",
            "prefix": "DR.",
            "credential": "HSE 11988",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica Denise Pena, ARNP
• Gabriela Pena
• Heidy Victoria Pena, RN, IBCLC
• Santiago Pena, PA-C
• Suzanne Pena
• Penina Flug, LCSW, Inc.
• Peninsula Diagnostics PA
• Startayvia Areiona Penn
• Clair Janine Pennington
• Robert Frank Pennino, D.C.

• Surgical Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.