Individual provider Active NPI

Lorenzo Victores, M.D.

  • Cardiovascular Disease Physician
  • Hialeah, FL
National Provider Identifier
1902835762
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 51386 Issued in FL
Practice address
6450 W 21St CT
Suite 205
Hialeah, FL 33016-3946
Phone
(305) 558-7160
Fax
(305) 558-7877
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 51386 FL Primary

Addresses

Primary practice location

6450 W 21St CT
Suite 205
Hialeah, FL 33016-3946

Mailing address

6450 W 21St CT
Suite 205
Hialeah, FL 33016-3946
Phone (305) 558-7160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000548 FL Practitioner - Cardiovascular Disease (Cardiology) 5092752022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6450 W 21St CT
Suite 205
Hialeah, FL 33016-3942

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51386FLMDPharmacist
ME 51386FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenzo Victores MD Inc Cardiovascular Disease CurrentSince Sep 30, 2007 Accepting new patients
Palmetto Ekg & Echo Readers, PA Cardiovascular Disease Past Accepting new patients

Locations

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

6450 W 21st Ct
Ste 205
Hialeah, FL 33016
Phone (305) 542-1219

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1902835762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-558-7160",
            "fax_number": "305-558-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-558-7160",
            "fax_number": "305-558-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORES",
        "first_name": "LORENZO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 51386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.