Victorina'S Diabetes Endocrinology and Metabolism, Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME126126 Issued in FL

Legal business name

VICTORINA'S DIABETES ENDOCRINOLOGY AND METABOLISM, INC

Practice address

4879 Palm Coast Pkwy NW
Unit # 2
Palm Coast, FL 32137-3672

Phone

(386) 225-4462

NPI assigned

Sep 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Wilfred Marco Victorina, M.D.

Title

President

Phone

(859) 496-1803

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1972050235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350812",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321350812",
            "telephone_number": "386-225-4462",
            "fax_number": "386-225-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 PALM COAST PKWY NW",
            "address_2": "UNIT # 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373672",
            "telephone_number": "386-225-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORINA'S DIABETES ENDOCRINOLOGY AND METABOLISM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-04",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "VICTORINA",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "MARCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-496-1803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME126126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verones and Associates
• Denise Verones, PHD
• Veyora Medical LLC
• Antonio Sison Vicencio III, M.D.
• Jonathan Vicencio
• Donna Vieitez
• Vanesa Veronica Villar, PMHNP-BC
• Jesenia Villoldo, LMFT, LMHC
• Diana Viola
• Visiting Angels

• Endocrinology, Diabetes & Metabolism Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.