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NPI Code Detail

MEDICARE: RICARDO VELAZQUEZ MD PLLC

MEDICARE: RICARDO VELAZQUEZ MD PLLC
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
1363AM0700XMedical Physician Assistant
2363L00000XNurse Practitioner
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1629229901
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICARDO VELAZQUEZ MD PLLC
Provider Business Mailing Address
First Line : 3811 W CHARLESTON BLVD STE 104
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1846
Country : US
Telephone Number : 702-399-8808
Fax Number : 702-384-8807
Provider Business Practice Location Address
First Line : 3811 W CHARLESTON BLVD STE 104
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1846
Country : US
Telephone Number : 702-399-8808
Fax Number : 702-384-8807
Authorized Official
Title or Position : PRESIDENT
Name : RICARDO J VELAZQUEZ
Credential : MD
Telephone Number : 702-399-8808
Provider Enumeration Date : 10/06/2008
Last Update Date : 06/23/2026

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Directions to “RICARDO VELAZQUEZ MD PLLC ” Practice Location

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