Individual
RICARDO S VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101
(719) 589-5161
(719) 589-5722
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
(719) 589-5722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21102
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01211028
—
CO
01
—
080115191
TRAVELERS MEDICARE
—
01
—
29108
NEW MEXICO MEDICAID
—
01
—
840706945043
ROCKY MOUNTAIN HEALTH PLA
CO
01
—
P8B200998
TEXAS MEDICAID
—
01
—
VE246518
ANTHEM BCBS
CO
Enumeration date
10/17/2005
Last updated
03/30/2016
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