Victor Ivan Moncada Castro, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

294415 Issued in MA

Practice address

115 Lincoln St
Framingham, MA 01702-6358

Phone

(508) 373-1572

Fax

(508) 872-4794

NPI assigned

Sep 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1306560602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CONCORD ST APT 310",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028363",
            "telephone_number": "508-654-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026358",
            "telephone_number": "508-373-1572",
            "fax_number": "508-872-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCADA CASTRO",
        "first_name": "VICTOR",
        "middle_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "294415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruqayah Mohammed, PA-C
• Taylor Mohr
• Tyler Verton Mohr, PA-C
• Mom Over Matter LLC
• Carolyn Monahan
• Emmanuella Zobo Mondesir, M.ED.
• Dylan Monette
• Johanna Moni-Mejia I
• Henry M. Monilla, P.T.
• Cidella A Moniz

• Internal Medicine Physician in Framingham, MA
• Providers in Framingham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.