Jesus Javier Velarde Sr.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

10753074 Issued in TX

Practice address

1045 Clint San Elizario Rd
San Elizario, TX 79849-7501

Phone

(915) 873-1679

Fax

(915) 851-2614

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J.J. Velarde Constuction

  • Home Modifications Contractor
  • San Elizario, TX
  • NPI 1972045136
  NPD (past) Authorized official

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1508130683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 CLINT SAN ELIZARIO RD",
            "address_2": "PO BOX 670",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "798497501",
            "telephone_number": "915-873-1679",
            "fax_number": "915-851-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 CLINT SAN ELIZARIO RD",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "798497501",
            "telephone_number": "915-873-1679",
            "fax_number": "915-851-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELARDE",
        "first_name": "JESUS",
        "middle_name": "JAVIER",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TX",
            "license": "10753074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in San Elizario, TX
• Providers in San Elizario, TX by specialty
• Home Modifications Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.