Individual
CARLOS R VELAZQUEZ GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4445 W 16TH AVE, SUITE 501, HIALEAH, FL 33012-7189
(305) 817-8687
Mailing address
4445 W 16TH AVE, SUITE 501, HIALEAH, FL 33012-7189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59558
FL
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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