Three RV Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C10005026 Issued in DE

Legal business name

THREE RV MEDICAL, LLC

Practice address

1330 Middleford Rd
Suite 301
Seaford, DE 19973-3648

Phone

(302) 536-7740

Fax

(302) 536-7742

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Victorino Dejesus, MD

Title

Physician

Phone

(302) 536-7740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1851544035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 MIDDLEFORD RD",
            "address_2": "SUITE 301",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733648",
            "telephone_number": "302-536-7740",
            "fax_number": "302-536-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MIDDLEFORD RD",
            "address_2": "SUITE 301",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733648",
            "telephone_number": "302-536-7740",
            "fax_number": "302-536-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RV MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "VICTORINO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "302-536-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10005026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.