Healthcare Provider Details

I. General information

NPI: 1235247735
Provider Name (Legal Business Name): JORGE VELA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E SAUNDERS TOWER A LAREDO MEDICAL CENTER WOUND CARE
LAREDO TX
78041-5401
US

IV. Provider business mailing address

2803 GLOVER LOOP
LAREDO TX
78045-7608
US

V. Phone/Fax

Practice location:
  • Phone: 956-796-3157
  • Fax:
Mailing address:
  • Phone: 956-206-6356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG2875
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberG2875
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: