Basic Information
| Provider Information | |||||||||
| NPI: | 1811967656 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VELAZQUEZ | ||||||||
| FirstName: | TORRIN | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6000 W HIGHWAY 98 | ||||||||
| Address2: | |||||||||
| City: | PENSACOLA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325120001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8505056472 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 16899 W BERNARDO DR | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921271603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585212300 | ||||||||
| FaxNumber: | 8585212001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2006 | ||||||||
| LastUpdateDate: | 07/29/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | C158776 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 171000000X | Y | Other Service Providers | Military Health Care Provider |
No ID Information.