Provider Demographics
NPI:1922008564
Name:VELIZ, JORGE R (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:R
Last Name:VELIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13 FIELDSTONE LN
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5560
Mailing Address - Country:US
Mailing Address - Phone:508-647-6864
Mailing Address - Fax:508-647-6864
Practice Address - Street 1:13 FIELDSTONE LN
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-5560
Practice Address - Country:US
Practice Address - Phone:508-647-6864
Practice Address - Fax:508-647-6864
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA48961174400000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist