Individual provider Active NPI

Francisco Rafael Velaz

  • Specialist
  • Oakland Park, FL
National Provider Identifier
1548313158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA32984 Issued in FL
Practice address
4450 NE 20TH Ave
Oakland Park, FL 33308-5112
Phone
(954) 249-9176
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA32984 FL Primary

Addresses

Primary practice location

4450 NE 20TH Ave
Oakland Park, FL 33308-5112

Mailing address

2300 NE 6TH Ave Apt 101
Wilton Manors, FL 33305-1153
Phone (954) 249-9176

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

LicenseStateTypeSpecialty
MA32984FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Retreat Inc Specialist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548313158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NE 6TH AVE APT 101",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051153",
            "telephone_number": "954-249-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 NE 20TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333085112",
            "telephone_number": "954-249-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZ",
        "first_name": "FRANCISCO",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA32984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.