Provider Demographics
NPI:1598491045
Name:VELASQUEZ, HUGO ALBERTO
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:ALBERTO
Last Name:VELASQUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-3815
Mailing Address - Country:US
Mailing Address - Phone:859-359-8352
Mailing Address - Fax:
Practice Address - Street 1:1125 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-3815
Practice Address - Country:US
Practice Address - Phone:859-359-8352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator