Corina Cristina Velazco, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116383 Issued in FL

Practice address

6200 Sunset Dr Ste 302
South Miami, FL 33143-4829

Phone

(786) 662-8122

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Urgent Care Physicians of Country Walk LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1689838849
  Medicare reassignment
• Urgent Care Physicians of Palmetto Bay LLC

  • General Practice Physician
  • Palmetto Bay, FL
  • NPI 1740403914
  Medicare reassignment
• Urgent Care Physicians of Tamiami LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1639381965
  Medicare reassignment
• Urgent Care Physicians of West Kendall LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1508989757
  Medicare reassignment
• Urgent Care Physicians of Westchester LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1992928162
  Medicare reassignment

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1619565876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 KENDALE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 302",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "786-662-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZCO",
        "first_name": "CORINA",
        "middle_name": "CRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116383",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9116383",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Vega Suarez
• Janelle Marie Vega, MD
• Jennifer Siapno Vega, ARNP
• Austin Vegas, DO
• Dina Velasquez, MD
• Lissette Velez
• Sophia Alexandria Velez
• Joseph Ryan Venditto, M.D.
• Ventre Medical Associates, LLC
• Valentina Venzo, MD

• Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.