Individual provider Active NPI

Cristine Sandra Velazco, MD

  • Pediatric Surgery Physician
  • Orlando, FL
National Provider Identifier
1659716983
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME158030 Issued in FL
Practice address
1720 S Orange Ave Ste 200
Orlando, FL 32806-2932
Phone
(407) 540-1000
Fax
(407) 540-1011
NPI assigned
Apr 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 49554 AZ
Pediatric Surgery Physician 2086S0120X ME158030 FL Primary

Addresses

Primary practice location

1720 S Orange Ave Ste 200
Orlando, FL 32806-2932

Mailing address

1720 S Orange Ave Ste 200
Orlando, FL 32806-2932
Phone (407) 540-1000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001188 FL Practitioner - General SurgeryPractitioner - Pediatric Medicine 0749407716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1720 S Orange Ave
Orlando, FL 32806-2945
Phone (407) 540-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49554AZMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

1720 S Orange Ave
Ste 200
Orlando, FL 32806
Phone (407) 426-9693

1720 S Orange Ave
Orlando, FL 32806
Phone (321) 842-9000

1720 S Orange Ave
Ste 500
Orlando, FL 32806
Phone (407) 540-1000

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Interoperability endpoints

  • Direct secure messaging: cvelazco386761@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1659716983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S ORANGE AVE STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062932",
            "telephone_number": "407-540-1000",
            "fax_number": "407-540-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S ORANGE AVE STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062932",
            "telephone_number": "407-540-1000",
            "fax_number": "407-540-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZCO",
        "first_name": "CRISTINE",
        "middle_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AZ",
            "license": "49554",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME158030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.