Victoria P Dimayuga, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME053185 Issued in FL

Practice address

16 Iroquois TRL
Ormond Beach, FL 32174-4333

Phone

(386) 615-0366

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1295716124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 IROQUOIS TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744333",
            "telephone_number": "386-615-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 IROQUOIS TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744333",
            "telephone_number": "386-615-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAYUGA",
        "first_name": "VICTORIA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME053185",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME 053185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lynn Dillard, MD
• Maury Dillender
• Jane T Dillon, MD
• Thea Marie Garcia Dimacali
• Michael R. Dimayuga, M.D.
• Chelci Dineen, FNP
• Geoffrey Dioquino
• Andrew Dittman, DPM
• Marie Dittman, DPT
• Amy Danielle Dobberfuhl, APRN CPNP-PC

• All providers in Ormond Beach, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.