Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P6543 | TX |
N | 111NI0900X | Internist | P6543 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME140181 | FL |
NPI | 1124377064 |
---|---|
Provider Name | Alex Hernan Velasquez |
First Address | Miami, FL 33125-1659 |
Second Address | Miami, FL 33125-1659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2012 |
Last Update Date | 05/06/2019 |