Provider Demographics
NPI:1972045136
Name:J.J. VELARDE CONSTUCTION
Entity Type:Organization
Organization Name:J.J. VELARDE CONSTUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:VELARDE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:915-873-1679
Mailing Address - Street 1:1045 S CLINT SAN ELIZARIO RD
Mailing Address - Street 2:
Mailing Address - City:SAN ELIZARIO
Mailing Address - State:TX
Mailing Address - Zip Code:79849-7501
Mailing Address - Country:US
Mailing Address - Phone:915-873-1679
Mailing Address - Fax:915-851-2614
Practice Address - Street 1:1045 S CLINT SAN ELIZARIO RD
Practice Address - Street 2:
Practice Address - City:SAN ELIZARIO
Practice Address - State:TX
Practice Address - Zip Code:79849-7501
Practice Address - Country:US
Practice Address - Phone:915-873-1679
Practice Address - Fax:915-851-2614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty