Luis Enrique Vela Jr.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2130555 Issued in TX

Practice address

2502 W Freddy Gonzalez Dr
Edinburg, TX 78539-7387

Phone

(956) 381-1600

Fax

(956) 381-1616

NPI assigned

Aug 24, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1033690300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012924",
            "telephone_number": "956-687-4559",
            "fax_number": "956-687-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W FREDDY GONZALEZ DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397387",
            "telephone_number": "956-381-1600",
            "fax_number": "956-381-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2130555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECTOPE",
            "identifier": "2130555",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gustavo Alonzo Vela Jr., DMSC, MA, MPAS, PA-C
• Isaac Julian Vela, DPT
• Jazmin Andrea Vela, ACNPC-AG
• Leonel Vela, M.D.
• Lizette Vela, PT
• Melissa Ann Vela
• Omar Paul Vela, D.C.
• Horacio Javier Velasquez, MD
• Stephanie Velazco, LMSW
• Jacobo Velazquez

• Physical Therapy Assistant in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.