Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME125770 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME125770 | FL |
NPI | 1780629253 |
---|---|
Provider Name | Mauricio Velez |
First Address | Orlando, FL 32804 |
Second Address | Orlando, FL 32804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 30/08/2018 |