Individual
JERONIMO SALVADOR VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809
(225) 761-5370
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
015438
LA
207UN0901X
Nuclear Cardiology Physician
Primary
MD.015438
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01055351
—
MS
05
—
1331376
—
LA
Enumeration date
06/15/2006
Last updated
01/25/2013
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