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NPI Code Detail

MEDICARE: DR. JOSE-LUIS ESTEBAN VELAZQUEZ-CECENA M.D.

MEDICARE:  DR. JOSE-LUIS ESTEBAN VELAZQUEZ-CECENA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician0101246310VA
2207RC0000XCardiovascular Disease Physician42453KY
3207RC0000XCardiovascular Disease Physician036-109951IL
4207RC0000XCardiovascular Disease PhysicianME119572FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396902839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE-LUIS ESTEBAN VELAZQUEZ-CECENA M.D.
Provider Business Mailing Address
First Line : 4901 RONDA ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-1731
Country : US
Telephone Number : 305-905-2125
Fax Number : 305-256-5197
Provider Business Practice Location Address
First Line : 9380 SW 150TH ST STE 210
Second Line :
City : MIAMI
State : FL
Zip : 33176-7979
Country : US
Telephone Number : 305-256-5018
Fax Number : 305-256-5197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 01/03/2020

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Directions to “ DR. JOSE-LUIS ESTEBAN VELAZQUEZ-CECENA M.D.” Practice Location

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