Provider Demographics
NPI:1881494102
Name:VELEZ, RAYMOND GERONIMO (INTERPRETER)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:GERONIMO
Last Name:VELEZ
Suffix:
Gender:M
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 RIDGE ST
Mailing Address - Street 2:APT 5
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2407
Mailing Address - Country:US
Mailing Address - Phone:732-575-3996
Mailing Address - Fax:
Practice Address - Street 1:42 RIDGE ST
Practice Address - Street 2:APT 5
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2407
Practice Address - Country:US
Practice Address - Phone:732-575-3996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1011970171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY87-1246485OtherIRS DEPARTMENT OF THE TREASURY