Individual provider Active NPI

Erika Nicole Victorino, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Wilton Manors, FL
National Provider Identifier
1194399063
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
ME175584 Issued in FL
Practice address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Phone
(954) 576-7141
NPI assigned
May 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME175584 FL Primary
Internal Medicine Physician 207R00000X ME175584 FL

Addresses

Primary practice location

871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731

Mailing address

3510 Biscayne Blvd
Miami, FL 33137-3859
Phone (305) 576-1234

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME175584FLMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: erika.victorino.p1@direct.careresource.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1194399063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373859",
            "telephone_number": "305-576-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 W OAKLAND PARK BLVD",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111731",
            "telephone_number": "954-576-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORINO",
        "first_name": "ERIKA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-16",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME175584",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME175584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.