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Contact Information

JERONIMO S VELAZQUEZ, MD
9001 SUMMA AVENUE
BATON ROUGE, LA70809
 Phone: 225-761-5370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JERONIMO S VELAZQUEZ · (Male)

NPI Number 1962446732
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 01/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 015438
  • LA License # MD.015438
  • LA Medicaid 1331376
  • MS Medicaid 01055351
Hospital affiliation(s)
  • OCHSNER MEDICAL CENTER-BATON ROUGE - (Acute Care)
    17000 MEDICAL CENTER DR
    BATON ROUGE, LA 70816
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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