Basic Information
| Provider Information | |||||||||
| NPI: | 1598413452 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | VELEZ | ||||||||
| FirstName: | ARMANDO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 635 CHESTNUT AVE | ||||||||
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| City: | HOLTVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922501409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7608794767 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1611 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | EL CENTRO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922432212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603371144 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2022 | ||||||||
| LastUpdateDate: | 03/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 51745 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.