Provider Demographics
NPI:1992750400
Name:TERESAS VELEZ
Entity type:Organization
Organization Name:TERESAS VELEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:I
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-884-0090
Mailing Address - Street 1:PO BOX 502
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0502
Mailing Address - Country:US
Mailing Address - Phone:787-884-0090
Mailing Address - Fax:787-795-8139
Practice Address - Street 1:REPARTO MEJIA
Practice Address - Street 2:# 1010 CARR. # 2
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-0090
Practice Address - Fax:787-795-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB-138341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0059287Medicare ID - Type Unspecified# PROVIDER