Juan Camilo Velasquez, M.D

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME121303 Issued in FL

Practice address

3001 NW 49TH Ave
Suite 104
Lauderdale Lakes, FL 33313-7266

Phone

(954) 714-0686

Fax

(954) 731-6017

NPI assigned

May 10, 2008

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

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Primary Care LLCGroup PAC ID 7810906823, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: juan.velasquez@hca4.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia Primary Care LLC

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1265567994
  Medicare reassignment Care Compare group NPD
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467

  Interventional Cardiology

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495

  FL

  Medicare reassignment NPD
• Steward Medical Group, Inc.

  • Neurology Physician
  • Hialeah, FL
  • NPI 1104496819
  NPD
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD
• DRS. Labi & Brady, PA

  • Durable Medical Equipment & Medical Supplies
  • Coral Springs, FL
  • NPI 1578739546
  NPD (past)
• Stewart and Stewart a Medical Corporation

  dba Stewart Medical Group

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1306058565
  NPD (past)

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

• Miami Beach Healthcare Group, LTD.

  dba HCA Florida Aventura Hospital

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1942477823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "SUITE 104",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-714-0686",
            "fax_number": "954-731-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "SUITE 104",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-714-0686",
            "fax_number": "954-731-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "JUAN",
        "middle_name": "CAMILO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-10",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME121303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valuecare Medical, LLC
• Stephanie Joy Van Houten, LCSW
• Vangard Imaging LLC
• Vangard Imaging LLC
• Vantage Medical Billing Solutions, LLC
• Ginna Sarai Velo Nazario
• Victoria Garden Alf, Inc.
• Victoria Gardens Home Alf Inc
• Victory Chiropractic, Inc.
• Andre Vicuna Blanco, BCBA

• Interventional Cardiology Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.