Provider Demographics
NPI:1558781054
Name:RON, VICTORIA (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:RON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:VIRGINIA
Other - Last Name:PEREZ VELEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:313 W 47TH ST
Mailing Address - Street 2:APT 1-W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-2407
Mailing Address - Country:US
Mailing Address - Phone:787-525-8429
Mailing Address - Fax:
Practice Address - Street 1:313 W 47TH ST
Practice Address - Street 2:APT 1-W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2407
Practice Address - Country:US
Practice Address - Phone:787-525-8429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD12869207P00000X
LA309569207P00000X
390200000X
FLME133069207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program