Basic Information
| Provider Information | |||||||||
| NPI: | 1578539037 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VELOIRA | ||||||||
| FirstName: | WILFREDO | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2400 S. MINNESOTA AVE | ||||||||
| Address2: | STE 100 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571053762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 1417 S. CLIFF AVE | ||||||||
| Address2: | STE, 010 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053223666 | ||||||||
| FaxNumber: | 6053223665 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 12/19/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0214X | 5110 | SD | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology |
ID Information
| ID | Type | State | Issuer | Description | 240520 | 01 | SD | MIDLANDS CHOICE | OTHER | 57105I005 | 01 | SD | WPS TRICARE | OTHER | 600S1VE | 01 | MN | BLUE CROSS | OTHER | 600S1VE | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | 6630910 | 05 | SD | MEDICAID | 000080878 | 01 | MN | PRIMEWEST | OTHER | 1876597 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 34616 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 56327 | 01 | IA | BLUE CROSS | OTHER | 722801034454 | 01 | SD | PREFERRED ONE | OTHER | 46022474339 | 05 | NE | MEDICAID | 370624200 | 01 | SD | DEPT OF LABOR | OTHER | 4996136 | 01 | SD | BLUE CROSS | OTHER | 5110 | 01 | SD | DAKOTACARE | OTHER | 951400700 | 05 | MN | MEDICAID | 4800330 | 01 | SD | MEDICA | OTHER | HP41056 | 01 | SD | HEALTHPARTNERS | OTHER | 0569608 | 05 | IA | MEDICAID |