Provider Demographics
NPI:1467566562
Name:CARLOS A VELEZ MD PA
Entity Type:Organization
Organization Name:CARLOS A VELEZ MD PA
Other - Org Name:HEART & VASCULAR PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-544-0817
Mailing Address - Street 1:11551 CEDAR OAK DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6028
Mailing Address - Country:US
Mailing Address - Phone:915-544-0817
Mailing Address - Fax:915-544-9983
Practice Address - Street 1:11551 CEDAR OAK DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6028
Practice Address - Country:US
Practice Address - Phone:915-544-0817
Practice Address - Fax:915-544-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3491207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM0000X7370Medicaid
TX133207404Medicaid
TX133207404Medicaid
C22961Medicare UPIN