Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 23838 | AL |
NPI | 1013930825 |
---|---|
Provider Name | Dr. Andrew Joseph Velazquez |
First Address | Mountain Brk, AL 35213-2415 |
Second Address | Mountain Brk, AL 35213-2415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 24/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009912186 | (05) | AL |
051514650 | BLUE CROSS (01) | AL |
925494 | BLOCK VISION (01) | AL |
H62765 | HEALTHSPRING OF ALABAMA (01) | AL |
P00035987 | RAILROAD MEDICARE (01) | AL |