Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 261Q00000X | Clinic/Center | | ME0043253 | FLORIDA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 21429 | OTHER | FLORIDA | VICTOR M SERALDE MCR UPIN |
| 2 | K2401 | OTHER | FLORIDA | MEDICARE PART B GROUP PROVIDER |
| 3 | 259715200 | OTHER | FLORIDA | MEDIPASS PROVIDER NUMBER GROUP |
| 4 | 41214C | OTHER | FLORIDA | MEDICARE PROVIDER CIRILO SERALDE FOR FAIRMOUNT CLINIC |
| 5 | 28115A | OTHER | FLORIDA | VICTOR SERALDE PROVIDER NUMBER FOR FAIRMOUNT CLINIC |
| 6 | 54734 | OTHER | FLORIDA | CIRILO M SERALDE MCR UPIN |
| 7 | 10D0293128 | OTHER | | CLIA GROUP NUMBER |
