Victoria Medical LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

VICTORIA MEDICAL LLC

Practice address

927 San Pedro Dr SE Ste B
Albuquerque, NM 87108-4981

Phone

(505) 265-4000

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Leon Gelfand

Title

Sole Member

Phone

(505) 265-4000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Barry Ralph Maron, MD

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1952349755
  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1245569847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 SAN PEDRO DR SE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084981",
            "telephone_number": "505-265-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 SAN PEDRO DR SE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084981",
            "telephone_number": "505-265-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "GELFAND",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "505-265-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Una Mary Vicenti, OT
• Jelisa Vick, AG-ACNP
• Roxanna Love Vick, RPH
• Jennifer Vickers, MD
• Wiyanna Victor Chavez, LCSW
• Victory Through Hope
• Farzan Victory, M.D.
• Victron70 Pastoral Counseling Agency LLC
• Emerson Vicuna, D.D.S.
• Vida del Sol Wellness

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.