Organization Active NPI

Dr Velasco Concierge

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1124861968
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR VELASCO CONCIERGE
Practice address
3790 7TH Ter Ste 102
Vero Beach, FL 32960-6552
Phone
(772) 362-9283
Fax
(772) 362-9280
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rodrigo Ernesto VelascoNPI 1710229448
Title
Owner
Phone
(786) 385-0175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3790 7TH Ter Ste 102
Vero Beach, FL 32960-6552

Mailing address

3790 7TH Ter Ste 102
Vero Beach, FL 32960-6552
Phone (772) 362-9283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710005210 FL Part B Supplier - Clinic/Group Practice 0042755332 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2311339Dr Velasco Concierge LLC3790 7TH Terrace #102, Vero Beach, FL 32960Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1124861968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 7TH TER STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606552",
            "telephone_number": "772-362-9283",
            "fax_number": "772-362-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 7TH TER STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606552",
            "telephone_number": "772-362-9283",
            "fax_number": "772-362-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VELASCO CONCIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-385-0175"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.