Erick Glenn Velez, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2841 Issued in FL

Practice address

1890 State Road 436
Suite 255
Winter Park, FL 32792-2285

Phone

(407) 657-7900

Fax

(407) 657-7942

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: glenn.velez@ncicf.directbygreenway.com

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1730179599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 255",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-657-7900",
            "fax_number": "407-657-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 255",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-657-7900",
            "fax_number": "407-657-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "ERICK",
        "middle_name": "GLENN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291422100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Manuel Velazquez Brea
• Catherine Velazquez
• Yaima Velazquez
• Wilson Gabriel Velez Perez, MD
• Velez Psychological Services
• Javier Velez, PSY.D.
• Osvaldo Velez, M.D.
• Renuka Velisetty, MD
• Udaya Rekha Vemula
• Mary Jane Alcantara Venzon, ARNP

• Physician Assistant in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.