Provider Demographics
NPI:1023513439
Name:VELASQUEZ ESCOBAR, MARIA CAMILA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CAMILA
Last Name:VELASQUEZ ESCOBAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2400 UNSER BLVD SE STE 18200
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-4740
Mailing Address - Country:US
Mailing Address - Phone:505-563-6565
Mailing Address - Fax:505-253-3920
Practice Address - Street 1:2400 UNSER BLVD SE STE 18200
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-4740
Practice Address - Country:US
Practice Address - Phone:505-563-6565
Practice Address - Fax:505-253-3920
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2024-1155208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology