Provider Demographics
NPI:1518853837
Name:VELEZ, RAUL JR (CSA, SA-C)
Entity type:Individual
Prefix:MR
First Name:RAUL
Middle Name:
Last Name:VELEZ
Suffix:JR
Gender:M
Credentials:CSA, SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 BIG SPRING RD
Mailing Address - Street 2:
Mailing Address - City:ROBESONIA
Mailing Address - State:PA
Mailing Address - Zip Code:19551-8910
Mailing Address - Country:US
Mailing Address - Phone:414-510-0545
Mailing Address - Fax:
Practice Address - Street 1:398 BIG SPRING RD
Practice Address - Street 2:
Practice Address - City:ROBESONIA
Practice Address - State:PA
Practice Address - Zip Code:19551-8910
Practice Address - Country:US
Practice Address - Phone:414-510-0545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty