Individual provider Active NPI

Luis Javier Victores, MD

  • Gastroenterology Physician
  • Hialeah, FL
National Provider Identifier
1952330508
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME79770 Issued in FL
Practice address
315 W 49TH St
Hialeah, FL 33012-3715
Phone
(305) 820-4426
Fax
(305) 820-4436
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME79770 FL Primary

Addresses

Primary practice location

315 W 49TH St
Hialeah, FL 33012-3715

Mailing address

315 W 49TH St
Hialeah, FL 33012-3715
Phone (305) 820-4426

Other identifiers 1

IdentifierTypeStateIssuer
259075100MedicaidFL

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
I20080326000314 FL Practitioner - Internal MedicinePractitioner - EndocrinologyPractitioner - Gastroenterology 6406932813 Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology, Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 W 49TH St
Hialeah, FL 33012-3715

Hospital & facility affiliations

  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy154
Upper gastrointestinal (GI) endoscopy for acid reflux158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonia M Jimenez -Victores Endocrinology LLC PastSince Jul 1, 2008 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.

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952330508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123715",
            "telephone_number": "305-820-4426",
            "fax_number": "305-820-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123715",
            "telephone_number": "305-820-4426",
            "fax_number": "305-820-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORES",
        "first_name": "LUIS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME79770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259075100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.