Victor Medina Seralde, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0041355 Issued in FL

Practice address

3750 US Highway 27 N Ste 4F
Sebring, FL 33870-1658

Phone

(863) 382-4949

Fax

(863) 382-3811

NPI assigned

Aug 29, 2006

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 identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Camel Irrv Complex Trust

  • Clinic/Center
  • Sebring, FL
  • NPI 1902095870
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1255449047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 US HIGHWAY 27 N STE 4F",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701658",
            "telephone_number": "863-382-4949",
            "fax_number": "863-382-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 US HIGHWAY 27 N STE 4F",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701658",
            "telephone_number": "863-382-4949",
            "fax_number": "863-382-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERALDE",
        "first_name": "VICTOR",
        "middle_name": "MEDINA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0041355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER CIRILO SERALDE IN FAIRMOUNT CLINIC",
            "identifier": "41214C",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPASS PROVIDER NUMBER GROUP",
            "identifier": "259715200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER OF VICTOR SERALDE IN FAIRMOUNT CLINIC",
            "identifier": "28115A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GROUP PROVIDER NUMBER",
            "identifier": "K2401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER DR. VICTOR SERALDE",
            "identifier": "28115",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL PROVIDER VICTOR SERALDE",
            "identifier": "067369200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Kent Selley, DO
• Victoria Hutto Selley, DO
• Carl-El Jonathan Alain Semerzier, DDS
• Cirilo M. Seralde Jr., MD
• Mercy L Seralde, M.D.
• Serenity 2 LLC
• Lourdes Maria Serralta
• Tadserh Sjeator Serralta, D.C.
• Amit Indravadan Shah, M.D.
• Afsana Ansari Shaik, MD

• General Practice Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.