Active NPI
Victoria Medical & Rehabilitation Associates, P.a.
- Internal Medicine Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K6734
- Legal business name
- VICTORIA MEDICAL & REHABILITATION ASSOCIATES, P.A.
- Practice address
- 601 E San Antonio St
Ste. 503W
Victoria, TX 77901-6004 - Phone
- (361) 575-3775
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cesar Baquiran Velasco, M.D.
- Title
- President
- Phone
- (361) 575-3775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K6734 | TX | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | K6733 | TX |
Addresses
Primary practice location
601 E San Antonio St
Ste. 503W
Victoria, TX 77901-6004
Mailing address
601 E San Antonio St
Ste. 503W
Victoria, TX 77901-6004
Phone (361) 575-3775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081249701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
601 E San Antonio St
#503
Victoria, TX 77901
Phone (512) 576-0011
601 E San Antonio St
Ste 503W
Victoria, TX 77901
Phone (361) 575-3775
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Victoria, TX
- NPI 1134179583
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1497704357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1295784247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E SAN ANTONIO ST",
"address_2": "STE. 503W",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016004",
"telephone_number": "361-575-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E SAN ANTONIO ST",
"address_2": "STE. 503W",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016004",
"telephone_number": "361-575-3775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA MEDICAL & REHABILITATION ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "VELASCO",
"authorized_official_first_name": "CESAR",
"authorized_official_middle_name": "BAQUIRAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "361-575-3775",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K6734",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "K6733",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081249701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
- Victoria Heart and Vascular Center, P.a.
- Victoria Hematology & Oncology Associates PA
- Victoria Independent School District
- Victoria Kidney & Dialysis Associates
- Victoria Kids Dentistry PLLC
- Victoria Metro Anesthesia
- Victoria MRI LTD
- Victoria Nephrology Associates LLC
- Victoria NP Clinic PLLC
- Victoria Obstetrics & Gynecology Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.