Healthcare Provider Details

I. General information

NPI: 1902972284
Provider Name (Legal Business Name): KATHERINE NICHOLE VELEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE NICHOLE VELEZ GARCIA MD

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 MAITLAND SUMMIT BLVD
ORLANDO FL
32810-5915
US

IV. Provider business mailing address

920 MEDICAL PLAZA DR STE 140
SHENANDOAH TX
77380-3751
US

V. Phone/Fax

Practice location:
  • Phone: 407-916-4522
  • Fax: 407-916-4525
Mailing address:
  • Phone: 713-486-6760
  • Fax: 713-486-6770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberN3370
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: