Organization Active NPI

Vicioso Medical and Addiction Services LLC

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1861988016
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VICIOSO MEDICAL AND ADDICTION SERVICES LLC
Practice address
7261 Sheridan St Ste 100D
Hollywood, FL 33024-2708
Phone
(954) 534-7696
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Dr. Luis E Vicioso, MD
Title
MGR
Phone
(646) 808-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7261 Sheridan St Ste 100D
Hollywood, FL 33024-2708

Mailing address

5729 Live Oak Ter
Fort Lauderdale, FL 33312-6377
Phone (646) 808-5915

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1861988016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 LIVE OAK TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126377",
            "telephone_number": "646-808-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 100D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242708",
            "telephone_number": "954-534-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICIOSO MEDICAL AND ADDICTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "VICIOSO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "646-808-5915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.