| Luis A. Velazquez, M.d. P.a. | |
|
8600 Sw 92nd St Ste 109 Miami FL 33156-7377 | |
| (305) 598-4499 | |
| (305) 598-3426 |
| Full Name | Luis A. Velazquez, M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8600 Sw 92nd St Ste 109, Miami, Florida |
| Authorized Official Name and Position | Luis Velazquez (PHYSICIAN) |
| Authorized Official Contact | 3055984499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis A. Velazquez, M.d. P.a. 8600 Sw 92nd St Ste 109 Miami FL 33156-7377 Ph: (305) 598-4499 | Luis A. Velazquez, M.d. P.a. 8600 Sw 92nd St Ste 109 Miami FL 33156-7377 Ph: (305) 598-4499 |
| NPI Number | 1306161401 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 12/29/2010 |
| Medicare PECOS PAC ID | 4486835170 |
|---|---|
| Medicare Enrollment ID | O20110301000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306161401 | NPI | - | NPPES |
| 064046800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0055886 (Florida) | Primary |
| Provider Name | Luis A Velazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942267737 PECOS PAC ID: 5698956290 Enrollment ID: I20110301000864 |
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