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NPI Code Detail

MEDICARE: STEPHANIE VELASQUEZ MD

MEDICARE: STEPHANIE VELASQUEZ 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
1207Q00000XFamily Medicine Physician27777NV

General Provider Information

NPI Number : 1225787542
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE VELASQUEZ MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 390 W LAKE MEAD PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7417
Country : US
Telephone Number : 725-220-8477
Fax Number : 833-749-0360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 02/13/2026

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Directions to “ STEPHANIE VELASQUEZ MD” Practice Location

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