Most Relevant Information
Provider Data
| NPI Number: | 1003311002 |
| Provider Name: | LUIS ANTONIO VELAZQUEZ CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | R225819 |
Most Important Dates
| Enumeration Date: | 03/29/2018 |
| Last Updated: | 03/29/2018 |
Provider Practice Location
100 HOSPITAL RD
PRINCE FREDERICK
MD
206784017
Practice Location Phone/Fax
| Phone: | 4106354000 |
| Fax: |
Provider Mailing Location
24730 RED HILL CT
HOLLYWOOD
MD
206364848
Provider Mailing Phone/Fax
| Phone: | 6176997920 |
| Fax: | 6176997920 |