# FMSC VICTORIA OPERATING COMPANY LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Retama Manor Nursing Center Victoria South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720050255
- **Authorized official:** MR. NELSON ROBAINA JR. B.S. (VP OF REIMBURSMENTS)
- **Authorized official phone:** (305) 892-1790

## Contact information

- **Practice address:** 3103 E AIRLINE RD, VICTORIA, TX 77901-4546
- **Practice address phone:** (361) 575-6457
- **Mailing address:** 1680 MICHIGAN AVE STE 736, MIAMI BEACH, FL 33139-2551
- **Mailing address phone:** (305) 892-1790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 08/22/2020