VICTORIA MEDICAL LLC (NPI# 1245569847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245569847 |
| Entity Type | Organization |
| Organization Name | VICTORIA MEDICAL LLC |
| Practice Address |
927 San Pedro Dr Se Ste B Albuquerque NM 87108-4981 |
| Practice Telephone | 5052654000 |
| Mailing Telephone | 5052654000 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |
| Authorized Official Name | MR. LEON GELFAND (SOLE MEMBER) |
| Authorized Official Telephone | 5052654000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
927 SAN PEDRO DR SE STE B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952349755 | Barry Ralph Maron | Orthopaedic Surgery | 927 San Pedro Dr Se Ste B, Albuquerque, NM 87108-4981 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120988 | Apm Therapy LLC | Clinic/Center | 8725 Alameda Park Ne, Albuquerque, NM 87113-2475 | 2018-07-17 |
| 1174567366 | Physical Therapy Clinic At La Cueva | Clinic/Center | 7920 Carmel Ne, Suite #3, Albuquerque, NM 87122 | 2006-06-16 |
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on VICTORIA MEDICAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.