Jose Luis Victorero Sr., APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11008713 Issued in FL

Practice address

702 SW 57TH Ave
Miami, FL 33144-3922

Phone

(305) 265-3239

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jose Luis Victorero I Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hermes Clinical Center LLC

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1952284994
  Medicare reassignment NPD
• La Familia Medical Center Inc

  • Nephrology Physician
  • Miami, FL
  • NPI 1134673411
  Medicare reassignment NPD
• Aj&ND Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1275019515
  Medicare reassignment
• New Life Medical Research Center Inc

  • Clinic/Center
  • Hialeah, FL
  • NPI 1851988158
  Medicare reassignment
• St Sophia Medical Staffing Corp

  • Nursing Care Agency
  • Miami, FL
  • NPI 1912890468
  NPD
• St. Sophia Nursing Care Corp.

  • Home Health Agency
  • Miami, FL
  • NPI 1679724850
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1235742776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W 65TH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126559",
            "telephone_number": "786-314-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443922",
            "telephone_number": "305-265-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORERO",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "VICTORERO",
            "middle_name": "LUIS",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aurore Y Victor, JD, MPH, RDN, LDN
• Elisabeth Victor, PA
• Jacques Andre Victor, M.D.
• Luzmila Victorero Mesa
• Laritza Victorero Ortiz
• Karynna Victorero
• Danaisy Victores
• Emily Victores
• Julio Victores
• Odennys Marcos Victori-Bencomo

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.