Healthcare Provider Details
I. General information
NPI: 1932640570
Provider Name (Legal Business Name): VELEZ' INTERNATIONAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2017
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12 CALLE TAPIA SUIT - C
CAGUAS PR
00725-3546
US
IV. Provider business mailing address
12 CALLE TAPIA SUIT - C
CAGUAS PR
00725-3546
US
V. Phone/Fax
- Phone: 787-234-0064
- Fax:
- Phone: 787-234-0064
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 389027 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | 389027 |
| License Number State | PR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251T00000X |
| Taxonomy | PACE Provider Organization |
| License Number | 389027 |
| License Number State | PR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 389027 |
| License Number State | PR |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 389027 |
| License Number State | PR |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | 389027 |
| License Number State | PR |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | 389027 |
| License Number State | PR |
VIII. Authorized Official
Name: MR.
ROGELIO
JOSE
VELEZ
Title or Position: PRESIDENT
Credential: JD
Phone: 787-234-0064