Provider Demographics
NPI:1134311228
Name:VETHEALTH MEDICAL SERVICES
Entity Type:Organization
Organization Name:VETHEALTH MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AZORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:632-588-0490
Mailing Address - Street 1:1515 SEPULCRO ST. COR. QUIRINO, PACO
Mailing Address - Street 2:UNIT 102
Mailing Address - City:PACO
Mailing Address - State:MANILA
Mailing Address - Zip Code:1009
Mailing Address - Country:PH
Mailing Address - Phone:632-588-0490
Mailing Address - Fax:
Practice Address - Street 1:1515 SEPULCRO ST. COR. QUIRINO, PACO
Practice Address - Street 2:UNIT 102
Practice Address - City:PACO
Practice Address - State:MANILA
Practice Address - Zip Code:1009
Practice Address - Country:PH
Practice Address - Phone:632-588-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory