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Juan Victoria

NPI 1265329916 · on the registry since 2025

Practice

Address
63 Grove St
Passaic, NJ 07055
Phone
(908) 884-6740
Organisation at this address
2nd Home Passaic Llc
2nd Home Passaic Operations, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey