Basic Information
| Provider Information | |||||||||
| NPI: | 1508324237 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VELEZ MEJIA | ||||||||
| FirstName: | BEATRIZ | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | LMT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 NE 22ND ST APT 1206 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331375186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7862163265 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7920 SW 8TH ST | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331444209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052615000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2019 | ||||||||
| LastUpdateDate: | 03/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | MA76655 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
No ID Information.