MEDICARE: JUANITA JIMENEZ-VELEZ

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	247200000X	Other Technician
2	106S00000X	Behavior Technician	RBT-23-282250	SC

General Provider Information

NPI Number	:	1457246159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUANITA JIMENEZ-VELEZ

Provider Business Mailing Address
First Line	:	418 RANDALL ST APT 9
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-5412
Country	:	US
Telephone Number	:	804-528-7402
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 RANDALL ST APT 9
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-5412
Country	:	US
Telephone Number	:	804-528-7402
Fax Number	:

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

Provider Enumeration Date	:	06/11/2025
Last Update Date	:	06/11/2025

Similar Medicare Providers

1578660999 — DR. LISA DAWN PRUSINSKI D.C.
Practice Location Address:

3750 SOUTH EVANS ST , STE. C
GREENVILLE, NC
27834-5412

Practice Phone: 252-355-1770
Practice Fax: 252-353-1415

1538240189 — SPINE ALIGN CHIROPRACTIC CENTER, PA
Practice Location Address:

3750 EVANS ST , STE. C
GREENVILLE, NC
27834-5412

Practice Phone: 252-355-1770
Practice Fax: 252-353-1415

1003757295 — MS. ANNA GAINES RN
Practice Location Address:

1 CHICK SPRINGS RD STE 201D
GREENVILLE, SC
29609-4964

Practice Phone: 864-395-3541
Practice Fax: 864-203-7184

1821093170 — WILSON C. BEAMER M.D.
Practice Location Address:

1027 ALTAMONT RD
GREENVILLE, SC
29609-6203

Practice Phone: 865-705-3526
Practice Fax:

1720087026 — MOBILE HEALTHCARE, INC
Practice Location Address:

622 WADE HAMPTON BLVD
GREENVILLE, SC
29609-4968

Practice Phone: 864-370-9773
Practice Fax: 864-370-0374

1780685040 — DR. CHRISTIAN MONTAGANO DO
Practice Location Address:

2498 N PLEASANTBURG DR
GREENVILLE, SC
29609-2730

Practice Phone: 864-305-5000
Practice Fax: 864-840-8207

Directions to “ JUANITA JIMENEZ-VELEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.