Active NPI
Enrique Velazquez MD PA
- Pulmonary Disease Physician
- Crystal River, FL
National Provider Identifier
1841525433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME 30897
- Legal business name
- ENRIQUE VELAZQUEZ MD PA
- Practice address
- 700 SE 5TH Ter
Suite 1
Crystal River, FL 34429-4878 - Phone
- (352) 795-1414
- Fax
- (352) 795-2256
- NPI assigned
- Oct 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enrique Velazquez, MD
- Title
- Medical Doctor
- Phone
- (352) 795-1414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME 30897 | FL | Primary |
Addresses
Primary practice location
700 SE 5TH Ter
Suite 1
Crystal River, FL 34429-4878
Mailing address
700 SE 5TH Ter
Suite 1
Crystal River, FL 34429-4878
Phone (352) 795-1414
National Provider Directory
National Provider DirectoryLocations
700 SE 5th Ter
Ste 1
Crystal River, FL 34429
Phone (352) 795-1414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548288000000",
"number": "1841525433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SE 5TH TER",
"address_2": "SUITE 1",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294878",
"telephone_number": "352-795-1414",
"fax_number": "352-795-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SE 5TH TER",
"address_2": "SUITE 1",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294878",
"telephone_number": "352-795-1414",
"fax_number": "352-795-2256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENRIQUE VELAZQUEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2019-01-24",
"status": "A",
"authorized_official_last_name": "VELAZQUEZ",
"authorized_official_first_name": "ENRIQUE",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "352-795-1414",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME 30897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.