Individual provider Active NPI

Armando Erich Veliz, PA

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1184640096
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101387 Issued in FL
Practice address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone
(305) 466-9988
Fax
(305) 466-9989
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101387 FL Primary

Addresses

Primary practice location

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915

Mailing address

2228 Sloane Place
Wellington, FL 33414
Phone (954) 937-4974

Other practice location 1

160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Phone (305) 466-9988

Other identifiers 2

IdentifierTypeStateIssuer
0010-05349OtherNCMEDICAL LICENSE
PA9101387OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080806000081 FL Practitioner - Physician Assistant 9032283288 Reassigns benefits to 1 organization
I20151103002671 NC Practitioner - Physician Assistant 9032283288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QSM-FL, IncGroup PAC ID 0648548982, 19 clinicians

Practice addresses (Care Compare)

3800 S Ocean Dr
Suite 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101387FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-Ky, Inc Physician Assistant Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1184640096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 SLOANE PLACE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "954-937-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Mine Lake Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156417",
            "country_code": "US",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELIZ",
        "first_name": "ARMANDO",
        "middle_name": "ERICH",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0010-05349",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9101387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.