Provider Demographics
NPI:1013930825
Name:VELAZQUEZ, ANDREW JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:VELAZQUEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3928 MONTCLAIR RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2415
Mailing Address - Country:US
Mailing Address - Phone:205-592-3911
Mailing Address - Fax:205-592-3537
Practice Address - Street 1:3928 MONTCLAIR RD STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2415
Practice Address - Country:US
Practice Address - Phone:205-592-3911
Practice Address - Fax:205-592-3537
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL23838207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00035987OtherRAILROAD MEDICARE
AL009912186Medicaid
ALH62765OtherHEALTHSPRING OF ALABAMA
AL051514650OtherBLUE CROSS
AL925494OtherBLOCK VISION
ALH62765OtherHEALTHSPRING OF ALABAMA
AL925494OtherBLOCK VISION
AL4800610001Medicare NSC
AL051514650OtherBLUE CROSS