Victor Astudillo, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

8233866723020 Issued in FL

Practice address

6420 64TH Way
West Palm Beach, FL 33409-7148

Phone

(770) 985-4257

Fax

(770) 985-4258

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1700056801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 64TH WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097148",
            "telephone_number": "770-985-4257",
            "fax_number": "770-985-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 64TH WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097148",
            "telephone_number": "770-985-4257",
            "fax_number": "770-985-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTUDILLO",
        "first_name": "VICTOR",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "8233866723020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assisted Transport of the Palm Beaches
• Jean Albert Assuied, D.O.
• Assurance Detox, LLC
• Assure Home Care, LLC
• Mario A Astudillo, RCSWI
• At Talitha Cumi Home Care, Inc.
• Hanin Edson Atalla Albeirat
• Anthony Atalla, M.D.
• Jana Anne Atchley, CRNA
• Jacqueline Aterno

• Surgical Physician Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.