Individual provider Active NPI

Juan Luis Velazquez Stuart, MD

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1740581180
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME136113 Issued in FL
Practice address
3181 Coral Way
4TH Floor
Miami, FL 33145
Phone
(305) 856-1002
Fax
(877) 809-8253
NPI assigned
Nov 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME136113 FL Primary

Addresses

Primary practice location

3181 Coral Way
4TH Floor
Miami, FL 33145

Mailing address

3181 Coral Way
4TH Floor
Miami, FL 33145
Phone (305) 856-1002

Other identifiers 2

IdentifierTypeStateIssuer
100628600MedicaidFL
12746-IOtherPRMEDICAL STATE LICENSE #

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
I20190315000498 FL Practitioner - Vascular Surgery 7911247697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
San Juan Bautista School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Surgical Group LLCGroup PAC ID 7214062520, 4 clinicians

Practice addresses (Care Compare)

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-1002

Hospital & facility affiliations

  • Coral Gables Hospital Hospital, Coral Gables, FL, CCN 100183

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Surgical Group LLC Vascular Surgery CurrentSince Oct 11, 2021 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Sep 4, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Aug 23, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

2307 W Broward Blvd
Ste 200
Ft Lauderdale, FL 33312
Phone (954) 792-1010

7100 W 20th Ave
Ste 107
Hialeah, FL 33016
Phone (305) 822-1000

3001 NW 49th Ave
Ste 104
Lauderdale Lakes, FL 33313
Phone (954) 735-6333

3661 S Miami Ave
Ste 708
Miami, FL 33133
Phone (305) 856-1002

3181 Coral Way
Fl 4
Miami, FL 33145
Phone (305) 445-7200

3181 Coral Way
Ste 301
Miami, FL 33145
Phone (305) 444-4546

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1740581180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY",
            "address_2": "4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-856-1002",
            "fax_number": "877-809-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY",
            "address_2": "4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-856-1002",
            "fax_number": "877-809-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ STUART",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME136113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100628600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE #",
            "identifier": "12746-I",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.