Active NPI
Milagros Maureen Gonzalez-Velasco
- Specialist
- Brooklyn, NY
National Provider Identifier
1629401211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 459543041
- Practice address
- 104 Bleecker St
Brooklyn, NY 11221-3806 - Phone
- (917) 202-9314
- NPI assigned
- Aug 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 459543041 | NY | Primary |
| Specialist | 174400000X | 6063135051 | NY | |
| Specialist | 174400000X | 6441720251 | NY |
Addresses
Primary practice location
104 Bleecker St
Brooklyn, NY 11221-3806
Mailing address
104 Bleecker St
Brooklyn, NY 11221-3806
Phone (917) 202-9314
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 644172051 | Other | NY | PRE-KINDERGARTEN, KINDERGARTEN, AND GRADES 1-6 |
| 603135051 | Other | NY | BILINGUAL EDUCATION EXTENSTION |
| 459543041 | Other | NY | PERMANENT SPECIAL EDCUCATION LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 459543041 | NY | MD | Specialist |
| 6063135051 | NY | MD | Specialist |
| 6441720251 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1629401211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BLEECKER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213806",
"telephone_number": "917-202-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BLEECKER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213806",
"telephone_number": "917-202-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-VELASCO",
"first_name": "MILAGROS",
"middle_name": "MAUREEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "459543041",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "6063135051",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "6441720251",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRE-KINDERGARTEN, KINDERGARTEN, AND GRADES 1-6",
"identifier": "644172051",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILINGUAL EDUCATION EXTENSTION",
"identifier": "603135051",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERMANENT SPECIAL EDCUCATION LICENSE",
"identifier": "459543041",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.