MEDICARE: JONATHAN VELEZ PADILLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1194374983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN VELEZ PADILLA

Provider Business Mailing Address
First Line	:	HC 2 BOX 2010
Second Line	:
City	:	BOQUERON
State	:	PR
Zip	:	00622-9324
Country	:	US
Telephone Number	:	787-546-4985
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST STE 2307
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2723
Country	:	US
Telephone Number	:	787-546-4985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	12/10/2025

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Directions to “ JONATHAN VELEZ PADILLA ” Practice Location

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