Individual provider Active NPI

Victor M Milan Sr., NURSE

  • Emergency Registered Nurse
  • San Juan, PR
National Provider Identifier
1265090427
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
035744 Issued in PR
Practice address
1923 Calle Rufino Tamayo
San Juan, PR 00926-6330
Phone
(787) 677-9227
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 035744 PR Primary

Addresses

Primary practice location

1923 Calle Rufino Tamayo
San Juan, PR 00926-6330

Mailing address

1923 Calle Rufino Tamayo
San Juan, PR 00926-6330
Phone (787) 677-9227

Other practice location 1

1923 Calle Rufino Tamayo
San Juan, PR 00926-6330
Phone (787) 677-9227

Other identifiers 1

IdentifierTypeStateIssuer
035744OtherPRNURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
035744PRMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1265090427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 CALLE RUFINO TAMAYO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266330",
            "telephone_number": "787-677-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 CALLE RUFINO TAMAYO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266330",
            "telephone_number": "787-677-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 Calle Rufino Tamayo",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009266330",
            "country_code": "US",
            "telephone_number": "787-677-9227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILAN",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PR",
            "license": "035744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE",
            "identifier": "035744",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.