Provider Demographics
NPI:1699312330
Name:VZ HEALTHCARE PROVIDER AND NURSING
Entity type:Organization
Organization Name:VZ HEALTHCARE PROVIDER AND NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAIDA
Authorized Official - Middle Name:IVELISSE
Authorized Official - Last Name:VELEZ LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:787-467-5844
Mailing Address - Street 1:PO BOX 9022823
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00902-2823
Mailing Address - Country:US
Mailing Address - Phone:787-467-5844
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION VILLA BLANCA CALLE TOPACIO #63
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1952
Practice Address - Country:US
Practice Address - Phone:787-467-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health