Botero-Velez, Mauricio

Botero-Velez, Mauricio is an sole proprietor health care provider with primary practice located at 16 Fahy St , Belfast ME 04915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Botero-Velez, Mauricio can be contacted via phone (207) 505-4304.

Contact Information

Primary practice address
16 Fahy St Belfast ME 04915
Phone: (207) 505-4304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD23464 Maine
Other Service Providers / Specialist 174400000X 77117 Florida

Profile Details

NPI number 1457358160
LBN Legal business name Botero-Velez, Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457358160 NPPES
Florida MEDICAID 264002300

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