Individual
SANDRA J VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEDIATRIC NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
175591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029009
NHP
MA
01
—
1300709
CMSP
MA
05
—
1300709
—
MA
01
—
47954
FALLON SELECT
MA
01
—
NP1925
BCBS
MA
01
—
Y10141
BCBS-GROUP
MA
Enumeration date
08/09/2006
Last updated
05/11/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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