Individual
DR. MARIA RUTH VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 TAMPA GENERAL CIR, J421, TAMPA, FL 33606-3571
(813) 844-3552
Mailing address
10000 BAY PINES BLVD, IMAGING 114, BAY PINES, FL 33744
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME108463
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN12232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008982400
—
FL
Enumeration date
06/05/2008
Last updated
09/30/2021
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