Healthcare Provider Details
I. General information
NPI: 1851221279
Provider Name (Legal Business Name): JAQUELINE ESMERALDA VELA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8301 PINEY BRANCH RD
SILVER SPRING MD
20910-5434
US
IV. Provider business mailing address
8301 PINEY BRANCH RD
SILVER SPRING MD
20910-5434
US
V. Phone/Fax
- Phone: 240-217-6962
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: