Gustavo Pena-velasco
D.D.S., M.S. | Oral and Maxillofacial Surgeon | 30+ years Exp
3950 Veterans Dr, Suite 100, Saint Cloud
Minnesota, 56303-3410
320-252-3611 320-252-7574
Maps & DirectionsGustavo Pena-velasco is a Saint Cloud, Minnesota based Oral and Maxillofacial Surgeon with
30 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 1995. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gustavo Pena-velasco is
D10925 for Oral and Maxillofacial Surgery in Minnesota. His current practice location is
3950 Veterans Dr, Suite 100, Saint Cloud. Patients can reach him at
320-252-3611.
Gustavo Pena-velasco deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Gustavo Pena-velasco speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Gustavo Pena-velasco |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S., M.S. |
| Experience: | 30+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1995 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3950 Veterans Dr, Suite 100, Saint Cloud,
Minnesota, 56303-3410 |
| Phone: | 320-252-3611 |
| Fax: | 320-252-7574 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8527049212 |
| Enrollment ID: | I20060306000585 |
| NPI Number: | 1851346639 |
| NPI Enumeration Date: | 23 May, 2006 |
| NPI Last Update On: | 14 Mar, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gustavo Pena-velasco are as mentioned below.
| License Number | Specialization | State | Status | |
| D10925 | Oral and Maxillofacial Surgery | Minnesota | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gustavo Pena-velasco is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Centrasota Oral And Maxillofacial Surgeons Pa (7315969326) | 7 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Gustavo Pena-velasco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 976017200 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3950 Veterans Dr, Suite 100
Saint Cloud, Minnesota |
| Zip: | 56303-3410 |
| Phone Number: | 320-252-3611 |
| Fax Number: | 320-252-7574 |
Patients can reach Gustavo Pena-velasco at
3950 Veterans Dr, Suite 100, Saint Cloud, Minnesota or can
call to book an appointment on 320-252-3611.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.