Individual provider · Type 1 NPI
Andres Rene Velazquez, P.A.
Medical Physician Assistant · Miami, FL
NPI number
1104488113
Active
Practice location
330 SW 27th Ave Ste 404
Miami, FL 33135-2967
Mailing address
11230 SW 40th Ter
Miami, FL 33165-4602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PACN110 (FL) |
| Medical Physician Assistant | 363AM0700X | TPPA966 (FL) |
| Physician Assistant | 363A00000X | 000260-P.A. (PR) |
Medical Physician Assistant: Definition to come...
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About NPI 1104488113
Andres Rene Velazquez, P.A.'s National Provider Identifier is 1104488113, issued on Jul 1, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Miami, FL. The record was last updated on Aug 25, 2026.