MEDICARE: RAYMOND GERONIMO VELEZ INTERPRETER

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	171R00000X	Interpreter	1011970	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	87-1246485	OTHER	NY	IRS DEPARTMENT OF THE TREASURY

General Provider Information

NPI Number	:	1881494102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND GERONIMO VELEZ INTERPRETER

Provider Business Mailing Address
First Line	:	42 RIDGE ST
Second Line	:	APT 5
City	:	PEARL RIVER
State	:	NY
Zip	:	10965-2407
Country	:	US
Telephone Number	:	732-575-3996
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 RIDGE ST
Second Line	:	APT 5
City	:	PEARL RIVER
State	:	NY
Zip	:	10965-2407
Country	:	US
Telephone Number	:	732-575-3996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/19/2025

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