Organization Active NPI

Victoria Valdesuso PA

  • Skilled Nursing Facility
  • Hollywood, FL
National Provider Identifier
1154550473
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PY6404 Issued in FL
Legal business name
VICTORIA VALDESUSO PA
Practice address
101 N Ocean Dr
Suite # 212
Hollywood, FL 33019-1728
Phone
(786) 263-3854
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Dr. Victoria M Valdesuso, PSYD, ARNP
Title
President
Phone
(786) 263-3854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PY6404 FL Primary

Addresses

Primary practice location

101 N Ocean Dr
Suite # 212
Hollywood, FL 33019-1728

Mailing address

932 Euclid Ave
Apt #10
Miami Beach, FL 33139-0821
Phone (786) 263-3854

National Provider Directory

National Provider Directory

Locations

101 N Ocean Dr
Ste 212
Hollywood, FL 33019
Phone (786) 263-3854

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1154550473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 EUCLID AVE",
            "address_2": "APT #10",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331390821",
            "telephone_number": "786-263-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N OCEAN DR",
            "address_2": "SUITE # 212",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191728",
            "telephone_number": "786-263-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA VALDESUSO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "VALDESUSO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-263-3854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, ARNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PY6404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.