Provider Demographics
NPI:1104017623
Name:SILVA VELAZQUEZ HEALTH GROUP INC
Entity Type:Organization
Organization Name:SILVA VELAZQUEZ HEALTH GROUP INC
Other - Org Name:PATIENT CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-661-8800
Mailing Address - Street 1:722 MORGAN BLVD
Mailing Address - Street 2:SUITE R
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5139
Mailing Address - Country:US
Mailing Address - Phone:956-661-8800
Mailing Address - Fax:956-661-8801
Practice Address - Street 1:722 MORGAN BLVD
Practice Address - Street 2:SUITE R
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5139
Practice Address - Country:US
Practice Address - Phone:956-661-8800
Practice Address - Fax:956-661-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010183251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679706Medicare Oscar/Certification