Individual provider Active NPI

Victor Arturo Marmolejos Polanco, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1225307085
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126997 Issued in FL
Practice address
3185 W Vine St
Kissimmee, FL 34741-3738
Phone
(407) 569-1260
Fax
(833) 963-0109
NPI assigned
Dec 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME126997 FL Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

3185 W Vine St
Kissimmee, FL 34741-3738

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700

Other identifiers 1

IdentifierTypeStateIssuer
ME126997OtherFLME LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victor.marmolejos.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711001770 FL Practitioner - Internal Medicine 4183876899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3185 W Vine St
Kissimmee, FL 34741-3738
Phone (407) 569-1260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME126997FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care FL Inc Internal Medicine Current Accepting new patients
Brockton Neighborhood Health Center, Inc. PastSince Apr 6, 2023 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

360 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 788-8200

1049 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 884-2952

946 State Road 436
Casselberry, FL 32707
Phone (407) 831-3141

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

3185 W Vine St
Kissimmee, FL 34741
Phone (407) 569-1260

904B Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

2577 Simpson Rd
Kissimmee, FL 34744
Phone (407) 348-8338

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957

11242 E Colonial Dr
Orlando, FL 32817
Phone (402) 273-7373

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: victor.marmolejos.1@29601.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1225307085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413738",
            "telephone_number": "407-569-1260",
            "fax_number": "833-963-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOLEJOS POLANCO",
        "first_name": "VICTOR",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126997",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "ME126997",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victor.marmolejos.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3185 W Vine St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347413738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.