Organization Active NPI

Enrique Velazquez MD PA

  • Pulmonary Disease Physician
  • Crystal River, FL
National Provider Identifier
1841525433
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 30897 Issued in FL
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

Updated by the provider on Jan 24, 2019

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.