Provider Demographics
NPI:1104069897
Name:VELEZ-CAMACHO, HECTOR HUGO (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:HUGO
Last Name:VELEZ-CAMACHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-532-1355
Mailing Address - Fax:813-635-2613
Practice Address - Street 1:10141 BIG BEND RD STE 206
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7422
Practice Address - Country:US
Practice Address - Phone:813-397-1274
Practice Address - Fax:813-605-6003
Is Sole Proprietor?:No
Enumeration Date:2009-04-11
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1265672084N0400X, 2084N0600X
NY2691082084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019716300Medicaid
FLIV520Z-TPAMedicare PIN