Provider Demographics
NPI:1811657562
Name:VELEZ IRIZARRY, RICHIE (RRT)
Entity type:Individual
Prefix:
First Name:RICHIE
Middle Name:
Last Name:VELEZ IRIZARRY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:RICHIE
Other - Middle Name:
Other - Last Name:VELEZIRIZARRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT
Mailing Address - Street 1:27226 TRINITY CROSS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-2561
Mailing Address - Country:US
Mailing Address - Phone:210-445-6551
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-8177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRCP000714202279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care