Individual
DR. LUIS I VELEZ-PESTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-0000
(315) 299-5451
(855) 851-4405
Mailing address
PO BOX 535770, ATLANTA, GA 30353-5770
(866) 507-5244
(954) 858-1815
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
282287
NY
207L00000X
Anesthesiology Physician
L4782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145023103
—
TX
05
—
1820148
—
LA
01
—
P00394530
RAILROAD MEDICARE
TX
Enumeration date
01/24/2007
Last updated
04/22/2024
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