MR. ROBERTO EDUARTE VELASCO (NPI# 1376810192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376810192 |
Entity Type | Individual |
Full Name | MR. ROBERTO EDUARTE VELASCO |
Credential | CRNP |
Practice Address |
216 N Broad St 12318 New College Building Philadelphia PA 19102-1121 |
Mailing Address |
1500 Market Street 24th Floor-west Tower Philadelphia PA 19102-1121 |
Practice Telephone | 2157628274 |
Mailing Telephone | 2152553828 |
Mailing Fax Number | 2152553577 |
Enumeration Date | 2011-11-22 |
Last Update Date | 2015-11-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP011787 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477601201 | Roberto U. Velasco | Neuromusculoskeletal Medicine & OMM | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2007-01-08 |
1659474294 | Roberto Velasco | Dentist | 2425 West Loop S, Ste 333, Houston, TX 77027-4205 | 2006-09-07 |
1548376791 | Roberto Alfiler Velasco Jr. | Family Medicine | 6044 Martin Luther King Jr Way S Ste 104, Seattle, WA 98118-3179 | 2006-08-21 |
Street Address |
216 N BROAD ST 12318 NEW COLLEGE BUILDING |
City | PHILADELPHIA |
State | PA |
Zip Code | 19102-1121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
1104192558 | Gregory Malat | Pharmacist | 216 N Broad St, Ms 417 5th Floor Feinstein Bldg, Philadelphia, PA 19102-1121 | 2012-03-30 |
1841569167 | Andres Riera | Internal Medicine | 216 N Broad St, Philadelphia, PA 19102 | 2011-12-14 |
1972886885 | Priscilla Bosacco | Nurse Practitioner | 216 N Broad St, Feinstein Building, 2nd Floor, Philadelphia, PA 19102-1121 | 2011-09-27 |
1972747285 | Jasjit Kaur Beausang | Obstetrics & Gynecology | 216 N Broad St, Floor 4 Feinstein Building, Philadelphia, PA 19102-1121 | 2009-04-30 |
1215192521 | Karen M Berkowitz | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Philadelphia, PA 19102-1121 | 2008-07-25 |
1417135161 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Feinstein, Philadelphia, PA 19102-1121 | 2008-02-05 |
1568647592 | Laird Jackson | Obstetrics & Gynecology | 216 N Broad St, Philadelphia, PA 19102-1121 | 2008-01-09 |
1023227444 | Lissa Beth Levin Mizrahi | Internal Medicine | 216 N Broad St, 5th Floor, Philadelphia, PA 19102-1121 | 2007-05-22 |
1558575894 | M. Velma Weitz | Nurse Practitioner | 216 N Broad St, Philadelphia, PA 19102-1121 | 2007-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
Find all providers in zip 19102 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496575 | Albert Abbo | Nurse Practitioner | 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 | 2020-10-30 |
1902411721 | Sean Arthur Deiter | Nurse Practitioner | 3619 Gypsy Ln, Philadelphia, PA 19129-1612 | 2020-09-09 |
1972117687 | Christopher Brian Cox | Nurse Practitioner | 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 | 2020-09-01 |
1053949081 | Anna Sorci | Nurse Practitioner | 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 | 2020-03-27 |
1629611488 | Shane M Hafer | Nurse Practitioner | 3600 Civic Center Blvd Fl 3, Philadelphia, PA 19104-4310 | 2019-10-24 |
1184272262 | Judy Linh | Nurse Practitioner | 901 Glenview St, Philadelphia, PA 19111-4420 | 2019-08-31 |
1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
1942777909 | Jessica Lynn Goins | Nurse Practitioner | 111 S 11th St Bldg 934, Philadelphia, PA 19107-4824 | 2018-10-29 |
1891201968 | Stefanie Rashti | Nurse Practitioner | 1015 Walnut St Ste 401, Philadelphia, PA 19107-5005 | 2017-12-27 |
1780074336 | Bridget Gibson | Nurse Practitioner | 1522 E Susquehanna Ave, Philadelphia, PA 19125-2921 | 2015-02-03 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19102 |
Please comment or provide details below to improve the information on MR. ROBERTO EDUARTE VELASCO.
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.