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1437267390

NPI Code Detail

MEDICARE: DR. MARCELO F VELA AQUINO MD

MEDICARE: DR. MARCELO F VELA AQUINO MD

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
1	207RG0100X	Gastroenterology Physician	ME161300	FL
2	207RG0100X	Gastroenterology Physician	62770	MN
3	207RG0100X	Gastroenterology Physician	49249	AZ

General Provider Information

NPI Number	:	1437267390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCELO F VELA AQUINO MD

Provider Business Mailing Address
First Line	:	13400 E SHEA BLVD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-5452
Country	:	US
Telephone Number	:	480-301-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-5452
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	01/29/2024

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Directions to “ DR. MARCELO F VELA AQUINO MD” Practice Location

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