Prof/Guidewell Sanitas Med CNT

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME125796 Issued in FL

Legal business name

PROF/GUIDEWELL SANITAS MED CNT

Practice address

11211 Veranda CT
Bradenton, FL 34209-7101

Phone

(516) 353-5770

NPI assigned

Oct 21, 2016

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hugo Hernan Velarde-Lasso, M.D

Title

Physian

Phone

(516) 353-5770

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1619428877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 VERANDA CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097101",
            "telephone_number": "516-353-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 VERANDA CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097101",
            "telephone_number": "516-353-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROF/GUIDEWELL SANITAS MED CNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "VELARDE-LASSO",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "HERNAN",
        "authorized_official_title_or_position": "PHYSIAN",
        "authorized_official_telephone_number": "516-353-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME125796",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "226893",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "ME125796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02488824",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H83144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sean Prince, O.D.
• Margaret Pritchard, OT
• Tracy Pritchard, P.T.
• Private Psychiatry of South West Florida. Inc
• Richard A Proctor, D.O., PHARM.D.,
• Christine Profito, PSY.D.
• Thomas L. Prosser, P.A.
• Carly Provan, CRNA
• Providia Home Care LLC. (Preferred Care Home Health Services)
• Regina D Pruitt, PA-C

• Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.