Provider Demographics
NPI:1851414692
Name:VELEZ, ELVIRA (NP)
Entity Type:Individual
Prefix:MS
First Name:ELVIRA
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8484 SW 42 CT.
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2964
Mailing Address - Country:US
Mailing Address - Phone:954-821-8165
Mailing Address - Fax:
Practice Address - Street 1:3000 NE 151ST ST
Practice Address - Street 2:FLORIDA INTERNATIONAL UNIVERSITY - UHS
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3605
Practice Address - Country:US
Practice Address - Phone:305-919-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL885712363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health