Individual provider Active NPI

Juan Carlos Velasquez, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1578296901
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11020559 Issued in FL
Practice address
11750 SW 40TH St
Miami, FL 33175-3530
Phone
(305) 223-3000
NPI assigned
Jul 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11020559 FL
Nurse Practitioner 363L00000X APRN11020559 FL Primary

Addresses

Primary practice location

11750 SW 40TH St
Miami, FL 33175-3530

Mailing address

PO Box 7623
Naples, FL 34101-7623
Phone (305) 712-7229

Other practice location 1

3476 S University Dr
Davie, FL 33328-2000
Phone (954) 475-4400

Other practice location 2

11760 SW 40th St Ste 529
Miami, FL 33175-8100
Phone (305) 712-7229

Other practice location 3

21110 Biscayne Blvd Ste 201
Aventura, FL 33180-1251
Phone (305) 712-7229

Other practice location 4

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

Other practice location 5

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

Other practice location 6

3661 S Miami Ave Ste 1001
Miami, FL 33133-4214
Phone (305) 712-7229

Other practice location 7

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 472-6600

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11020559FLMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Response Leads LLC CurrentSince Nov 15, 2023 Accepting new patients
ABA Circle Health Inc Current Accepting new patients

Organizations & group practices 2

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": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1578296901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-223-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3476 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282000",
            "country_code": "US",
            "telephone_number": "954-475-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11760 SW 40th St Ste 529",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331758100",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21110 Biscayne Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801251",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3663 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334253",
            "country_code": "US",
            "telephone_number": "305-854-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20900 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801407",
            "country_code": "US",
            "telephone_number": "305-682-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3661 S Miami Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334214",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "954-472-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11020559",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11020559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.