Victor M Montes Jordan, M,D.

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

6084 Issued in PR

Practice address

710 Wickham Lakes Dr
Viera, FL 32940-2200

Phone

(321) 412-8822

NPI assigned

Oct 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1225465461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WICKHAM LAKES DR",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329402200",
            "telephone_number": "321-412-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WICKHAM LAKES DR",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329402200",
            "telephone_number": "321-412-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES JORDAN",
        "first_name": "VICTOR",
        "middle_name": "M",
        "credential": "M,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "KY",
            "license": "28450",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PR",
            "license": "6084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6084",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lauren Melick
• Hannah Meloon, RD, LD/N
• Judith Sagia Minaya, M.D.
• Karen Jean Minette
• Logan J Monteleone, DC
• Percival Halcon Moraleda, MD
• Barbara Morse
• Matthew Ryan Moser, PHARMD
• Joyce Michele Musil, PHARMD
• My Memory Care LLC

• Pediatric Hematology & Oncology Physician in Viera, FL
• Providers in Viera, FL by specialty
• Pediatric Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.