Miguel Velazquez DO, P.a.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1761 Issued in ME

Legal business name

MIGUEL VELAZQUEZ DO, P.A.

Doing business as

Osteopathic Sport & Spine

Practice address

344 Cumberland St
Westbrook, ME 04092-2408

Phone

(207) 854-8200

Fax

(877) 735-2638

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Velazquez, D.O.NPI 1043241516

Title

Owner/Physician

Phone

(207) 854-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Osteopathic Sport & Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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

• Miguel A. Velazquez, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Westbrook, ME
  • NPI 1043241516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1174855449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CUMBERLAND ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922408",
            "telephone_number": "207-854-8200",
            "fax_number": "877-735-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CUMBERLAND ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922408",
            "telephone_number": "207-854-8200",
            "fax_number": "877-735-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL VELAZQUEZ DO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "207-854-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431815799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteopathic Sport & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neuromusculoskeletal Medicine & OMM Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.