Provider Demographics
NPI:1477298271
Name:VICTORIAMAHE CORP
Entity Type:Organization
Organization Name:VICTORIAMAHE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PASTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-498-7581
Mailing Address - Street 1:3800 COLLINS AVE APT 810
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3732
Mailing Address - Country:US
Mailing Address - Phone:305-498-7581
Mailing Address - Fax:
Practice Address - Street 1:3800 COLLINS AVE APT 810
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3732
Practice Address - Country:US
Practice Address - Phone:305-498-7581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health