| Dr Velasco Concierge | |
|
3790 7th Ter Ste 102 Vero Beach FL 32960-6552 | |
| (772) 362-9283 | |
| (772) 362-9280 |
| Full Name | Dr Velasco Concierge |
|---|---|
| Speciality | Family Medicine |
| Location | 3790 7th Ter Ste 102, Vero Beach, Florida |
| Authorized Official Name and Position | Roberto Ernesto Velasco (OWNER) |
| Authorized Official Contact | 7863850175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Velasco Concierge 3790 7th Ter Ste 102 Vero Beach FL 32960-6552 Ph: (772) 362-9283 | Dr Velasco Concierge 3790 7th Ter Ste 102 Vero Beach FL 32960-6552 Ph: (772) 362-9283 |
| NPI Number | 1124861968 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 0042755332 |
|---|---|
| Medicare Enrollment ID | O20240710005210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124861968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rodrigo Ernesto Velasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710229448 PECOS PAC ID: 6406099126 Enrollment ID: I20180831001310 |
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