Healthcare Provider Details

I. General information

NPI: 1336483080
Provider Name (Legal Business Name): MIALING VELEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12955 SW 112TH ST
MIAMI FL
33186-4768
US

IV. Provider business mailing address

12955 SW 112TH ST
MIAMI FL
33186-4768
US

V. Phone/Fax

Practice location:
  • Phone: 305-382-4161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9183293
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN9183293
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9183293
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: