Provider Demographics
NPI:1780870659
Name:VELASQUEZ, ADRIAN DE GUZMAN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:DE GUZMAN
Last Name:VELASQUEZ
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:11 FRIENDSHIP ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2209
Mailing Address - Country:US
Mailing Address - Phone:401-845-4265
Mailing Address - Fax:401-845-1643
Practice Address - Street 1:11 FRIENDSHIP ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2209
Practice Address - Country:US
Practice Address - Phone:401-845-4265
Practice Address - Fax:401-845-1643
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD14648207R00000X, 207RC0200X, 207RS0012X
MA243109207R00000X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine