Provider / Organization | NPI | Date Certified |
---|---|---|
WILSON VELAZQUEZ, MD, PA | 1053521641 | 2024-07-05 |
The organization Wilson Velazquez, Md, Pa is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1053521641. Registration indicates Wilson Velazquez, Md, Pa is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Anesthesiology) (Anesthesiology: Pain Medicine, ) (All Other Specialties & Provider Types, ) (Anesthesiology Pain Medicine, Allopathic & Osteopathic Physicians) (Anesthesiology, )
Code | Practice | License No State |
---|---|---|
207L00000X | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | |
207LP2900X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology: Pain Medicine All Other Specialties & Provider Types Anesthesiology Pain Medicine Allopathic & Osteopathic Physicians Anesthesiology | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code |
177441601 | MEDICAID | TX | |
00171Z | OTHER | TX | PTAN |