ALEJANDRO VELASCO DE LA CUESTA (NPI# 1518270727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518270727 |
| Entity Type | Individual |
| Full Name | ALEJANDRO VELASCO DE LA CUESTA |
| Credential | MD |
| Practice Address |
1 Northeast Dr Bangor ME 04401 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2072753800 |
| Practice Fax Number | 2072753803 |
| Mailing Telephone | 2079737000 |
| Mailing Fax Number | 2079737001 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD22228 | ME | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD22228 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
1 NORTHEAST DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760453344 | Peter N Ver Lee | Internal Medicine | 1 Northeast Dr, Bangor, ME 04401-4332 | 2006-01-31 |
| 1821632738 | Amelia Louise Mank | Nurse Practitioner | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-11-04 |
| 1780244434 | Hannah Cavaleri | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-06-15 |
| 1306400700 | Lindy May Thomas | Internal Medicine | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-05-01 |
| 1922564335 | Lauren Mcdowell Carlson Dooley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-02-11 |
| 1457822611 | Carrie Anne Mercier | Nurse Practitioner | 1 Northeast Dr, Bangor, ME 04401-4332 | 2018-12-16 |
| 1306323613 | Ameena Fauq | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2018-07-20 |
| 1477048734 | Julie Joan Eastman | Nurse Practitioner | 1 Northeast Dr, Bangor, ME 04401 | 2018-06-28 |
| 1952845638 | Nikolaus Thomas Hurley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-12-14 |
| 1083164933 | Brandi Lyon | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992805188 | Richard F Klonoski | Internal Medicine | 82 Gamage Ave, Auburn, ME 04210-4723 | 2006-09-25 |
| 1114957388 | Cardiovascular Consultants of Maine Pa | Internal Medicine | 96 Campus Dr Ste 1, Scarborough, ME 04074-7133 | 2006-07-04 |
| 1114202561 | Maine Cardiology Associates | Internal Medicine | 119 Gannett Dr, South Portland, ME 04106-6942 | 2011-10-18 |
| 1386937175 | Maine Medical Partners | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2011-05-26 |
| 1265412951 | Andrew C Corsello | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7133 | 2006-01-19 |
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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.