DR. DERICK J. VELAZQUEZ-LUCENA MD MHA NPI 1689208274

NPI Information

NPI: 1689208274
Provider Name: DR. DERICK J. VELAZQUEZ-LUCENA, MD, MHA
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11317 LAKE UNDERHILL RD
ORLANDO, FL
ZIP 32825
Phone: (407) 499-5900
Get Directions

DR. Derick J. Velazquez-lucena, MD, MHA is a general practice in Orlando, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Derick J. Velazquez-lucena, MD, MHA NPI is 1689208274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11317 LAKE UNDERHILL RD
ORLANDO, FL
ZIP 32825-435
Phone: (407) 499-5900
Fax: (844) 388-6186

The NPI 1689208274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2020 and was last updated on 8/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208D00000X	General Practice	NJDCATEMP-012231	NEW JERSEY	No
2	208D00000X	General Practice	21618	PUERTO RICO	No
3	208D00000X	General Practice	475	MASSACHUSETTS	No
4	390200000X	Student in an Organized Health Care Education/Training Program	13873-I	PUERTO RICO	No
5	390200000X	Student in an Organized Health Care Education/Training Program	14128-I	PUERTO RICO	No
6	208D00000X	General Practice	ACN1231	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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