Provider Demographics
NPI:1477589505
Name:VELOSO, ANGEL JR (MD)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:VELOSO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ANGEL
Other - Middle Name:
Other - Last Name:VELOSO
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5101 SW 8TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:306-262-6060
Mailing Address - Fax:305-262-6038
Practice Address - Street 1:5101 SW 8TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:306-262-6060
Practice Address - Fax:305-262-6038
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039123207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95775QMedicare ID - Type Unspecified
FLD63607Medicare UPIN