Healthcare Provider Details

I. General information

NPI: 1750275301
Provider Name (Legal Business Name): ALEXUS VELEZ-CORTES RVS, RPHS, VA-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 HAMBURG TPKE
WAYNE NJ
07470-2062
US

IV. Provider business mailing address

234 NEW RD
MONTAGUE NJ
07827-3509
US

V. Phone/Fax

Practice location:
  • Phone: 862-201-7831
  • Fax:
Mailing address:
  • Phone: 862-201-7831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471V0106X
TaxonomyVascular-Interventional Technology Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: