MEDICARE: VELOZ MENTAL HEALTH SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215512595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELOZ MENTAL HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	5911 NW 173RD DR UNIT 14
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5122
Country	:	US
Telephone Number	:	786-328-4856
Fax Number	:	813-477-1361

Provider Business Practice Location Address
First Line	:	5911 NW 173RD DR UNIT 14
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5122
Country	:	US
Telephone Number	:	786-328-4856
Fax Number	:	813-477-1361

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA E MARICHAL
Credential	:
Telephone Number	:	786-328-4856

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	03/17/2021

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