Individual
MAURICIO BOTERO-VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 FAHY ST, BELFAST, ME 04915
(207) 505-4304
Mailing address
10470 SW 66TH ST, MIAMI, FL 33173-1358
(772) 933-9432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
77117
FL
207RN0300X
Nephrology Physician
Primary
MD23464
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264002300
—
FL
Enumeration date
07/07/2005
Last updated
10/29/2019
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