ROBERTO VELAZQUEZ (NPI# 1356904734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356904734 |
| Entity Type | Individual |
| Full Name | ROBERTO VELAZQUEZ |
| Practice Address |
11900 E 12 Mile Rd Ste 210 Warren MI 48093-3490 |
| Mailing Address |
101 Woodland Ave San Francisco CA 94117-3862 |
| Practice Telephone | 5865827102 |
| Mailing Telephone | 7755272340 |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2019-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11900 E 12 MILE RD STE 210 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508124363 | Marek Jaroslaw Ogledzki | Dentist | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2012-04-30 |
| 1861002719 | Jonattan Eduardo Angulo | Oral & Maxillofacial Surgery | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2020-08-05 |
| 1003471517 | Jonathan Saher Zora | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2019-05-09 |
| 1881258945 | Sacha Dariana Clark | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2019-04-24 |
| 1609344175 | Alberto J Aviles Md, Pllc | Plastic Surgery | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2018-11-02 |
| 1386133296 | Matthew Jay Bures | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1265069967 | Luis Ariel Crespo | Student in an Organized Health Care Education/Training Program | 1350 E Market St Fl 7, Warren, OH 44483-6608 | 2020-03-24 |
| 1720615420 | Cindy Tran | Student in an Organized Health Care Education/Training Program | 1350 E Market St Fl 7th, Warren, OH 44483-6608 | 2020-03-24 |
| 1225679608 | Robert James Robine Jr. | Student in an Organized Health Care Education/Training Program | 8405 Hettenberger Ave, Warren, MI 48093-4968 | 2019-10-07 |
| 1306405527 | Caroline Kwon | Student in an Organized Health Care Education/Training Program | 4 Hardwood Ct, Warren, NJ 07059-2700 | 2019-06-11 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1033671128 | Gopal A Desai | Student in an Organized Health Care Education/Training Program | 45 Briarwood Dr E, Warren, NJ 07059-6780 | 2019-04-05 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.