Active NPI
Ronald Parreno Victoriano, M.D.
- Pediatrics Physician
- Pensacola, FL
National Provider Identifier
1821036674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME87962
- Practice address
- 909 Garden Gate Cir
Pensacola, FL 32504-8629 - Phone
- (850) 477-5475
- Fax
- (850) 477-8186
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME87962 | FL | Primary |
Addresses
Primary practice location
909 Garden Gate Cir
Pensacola, FL 32504-8629
Mailing address
909 Garden Gate Cir
Pensacola, FL 32504-8629
Phone (850) 477-5475
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016777 | Other | FL | MAILHANDLERS |
| 71077 | Other | FL | BCBS OF FL |
| 7197392 | Other | FL | AETNA |
| 267304500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87962 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Clinic of Pensacola PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Pensacola, FL
- NPI 1023256476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1821036674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 GARDEN GATE CIR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048629",
"telephone_number": "850-477-5475",
"fax_number": "850-477-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 GARDEN GATE CIR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048629",
"telephone_number": "850-477-5475",
"fax_number": "850-477-8186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIANO",
"first_name": "RONALD",
"middle_name": "PARRENO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME87962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAILHANDLERS",
"identifier": "2016777",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "71077",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7197392",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267304500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.