Organization Active NPI

FMSC Victoria Operating Company LP

  • Skilled Nursing Facility
  • Victoria, TX
National Provider Identifier
1720050255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FMSC VICTORIA OPERATING COMPANY LP
Practice address
3103 E Airline Rd
Victoria, TX 77901-4546
Phone
(361) 575-6457
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nelson Robaina Jr., B.S.
Title
VP of Reimbursments
Phone
(305) 892-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3103 E Airline Rd
Victoria, TX 77901-4546

Mailing address

1680 Michigan Ave Ste 736
Miami Beach, FL 33139-2551
Phone (305) 892-1790

Other names 1

  • Retama Manor Nursing Center Victoria South Doing business as

National Provider Directory

National Provider Directory

Locations

1680 Michigan Ave
Ste 736
Miami Beach, FL 33139

3103 E Airline Rd
Victoria, TX 77901
Phone (361) 545-6457

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720050255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE STE 736",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392551",
            "telephone_number": "305-892-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014546",
            "telephone_number": "361-575-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMSC VICTORIA OPERATING COMPANY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "VP OF REIMBURSMENTS",
        "authorized_official_telephone_number": "305-892-1790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retama Manor Nursing Center Victoria South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.