Healthcare Provider Details

I. General information

NPI: 1003722984
Provider Name (Legal Business Name): MONICA YVONNE VELASQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BIBLE WAY STE 1
RENO NV
89502-2127
US

IV. Provider business mailing address

1000 BIBLE WAY STE 1
RENO NV
89502-2127
US

V. Phone/Fax

Practice location:
  • Phone: 775-363-2774
  • Fax: 775-243-9918
Mailing address:
  • Phone: 775-363-2774
  • Fax: 775-243-9918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: