Individual provider Active NPI

Maritza A Velazquez, M.D

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1619930021
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0055887 Issued in FL
Practice address
8600 SW 92ND St
Suite 109
Miami, FL 33156-7377
Phone
(305) 598-4499
Fax
(305) 598-3426
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0055887 FL Primary

Addresses

Primary practice location

8600 SW 92ND St
Suite 109
Miami, FL 33156-7377

Mailing address

8600 SW 92ND St
Suite 109
Miami, FL 33156-7377
Phone (305) 598-4499

Other identifiers 1

IdentifierTypeStateIssuer
1398900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0055887FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1619930021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-598-4499",
            "fax_number": "305-598-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-598-4499",
            "fax_number": "305-598-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "MARITZA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0055887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1398900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.