Healthcare Provider Details

I. General information

NPI: 1619631363
Provider Name (Legal Business Name): HOSPITAL VELMAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL VELMAR DE LAS ARENAS 151 PLAYA ENSENADA
ENSENADA BC
22880
MX

IV. Provider business mailing address

HOSPITAL VELMAR 9169 W STATE ST #2532
GARDEN CITY ID
83714
US

V. Phone/Fax

Practice location:
  • Phone: 646-173-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. JOEL VELAZCO ARIZA
Title or Position: OWNER
Credential: MD
Phone: 646-173-4500