SASHA VELASCO (NPI# 1467015073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467015073 |
| Entity Type | Individual |
| Full Name | SASHA VELASCO |
| Credential | IDC |
| Practice Address |
100 Macarthur Cswy Miami Beach FL 33139-5101 |
| Mailing Address |
100 Macarthur Cswy Main Medical: Hs1 Velasco Miami Beach FL 33140 |
| Practice Telephone | 3055354500 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TRICARE | V420-799-81-753-0 | 01 |
| Street Address |
100 MACARTHUR CSWY |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578549374 | John Anthony Woytsek IIi | Technician, Other | 100 Macarthur Cswy, Uscg Hswl Miami Base Miami Beach Clinic, Miami Beach, FL 33139-5101 | 2005-12-22 |
| 1457596488 | Kimberly Ann Kaiser | Technician | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2008-12-04 |
| 1679733356 | Carmen D. Maloney | Technician, Other | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2008-06-16 |
| 1407975006 | Otto Mitchell Smeykal | Technician, Other | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2007-03-28 |
| 1912021510 | Department of Homeland Security, U.S.coast Guard | Clinic/Center | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2007-03-19 |
| 1306989595 | Ashanti El-amin | Emergency Medical Technician, Basic | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2007-02-15 |
| 1134270861 | Dorian Michael Allen | Technician, Other | 100 Macarthur Cswy, Medical, Miami Beach, FL 33139-5101 | 2007-01-16 |
| 1871643445 | Richard Quintana | Military Health Care Provider | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2007-01-12 |
| 1215086707 | Edward Lee Goff | Military Health Care Provider | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2007-01-10 |
| 1750430864 | Us Coast Guard | Military Health Care Provider | 100 Macarthur Cswy, Miami Beach, FL 33139-5101 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1831729821 | Michael O'connell | Military Health Care Provider | 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 | 2020-01-19 |
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1043863079 | Jenny Lee Mahoney | Military Health Care Provider | 55281 Yellow Jacket Dr, Callahan, FL 32011-8534 | 2019-07-18 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1992230429 | George Williams Osorio | Military Health Care Provider | 1734 Forest Lakes Cir Apt D, West Palm Beach, FL 33406-5773 | 2017-04-21 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1619420536 | Justin Allan Willis | Military Health Care Provider | 8353 Iris Ave, Seminole, FL 33777-3643 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.