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NPI Code Detail

MEDICARE: ALFREDO J VELEZ M.D.

MEDICARE: ALFREDO J VELEZ M.D.
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
12084P0800XPsychiatry PhysicianMD28831OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619175635
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFREDO J VELEZ M.D.
Provider Business Mailing Address
First Line : 1140 WILLAGILLESPIE RD STE 44
Second Line :
City : EUGENE
State : OR
Zip : 97401-6727
Country : US
Telephone Number : 480-209-9074
Fax Number : 458-201-3834
Provider Business Practice Location Address
First Line : 150 S WALL ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-3233
Country : US
Telephone Number : 541-435-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 03/18/2024

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