Active NPI
Pedro Velazquez
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1326581836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 12938
- Practice address
- 2307 W Saint Joseph St
Tampa, FL 33607-1651 - Phone
- (813) 468-4890
- NPI assigned
- Dec 1, 2016
- Last updated
- Dec 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 12938 | FL | Primary |
Addresses
Primary practice location
2307 W Saint Joseph St
Tampa, FL 33607-1651
Mailing address
2307 W Saint Joseph St
Tampa, FL 33607-1651
Phone (813) 468-4890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12938 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Abuelo's Quiet Village Alf | Assisted Living Facility | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Tampa, FL
- NPI 1669903704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1326581836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 W SAINT JOSEPH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071651",
"telephone_number": "813-468-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 W SAINT JOSEPH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071651",
"telephone_number": "813-468-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "PEDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "12938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.