Provider Demographics
NPI:1053872200
Name:VELA, LEONEL (MD)
Entity type:Individual
Prefix:DR
First Name:LEONEL
Middle Name:
Last Name:VELA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UTRGV SCHOOL OF MEDICINE
Mailing Address - Street 2:1201 W. UNIVERSITY DR.
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-296-1411
Mailing Address - Fax:
Practice Address - Street 1:UTRGV SCHOOL OF MEDICINE
Practice Address - Street 2:1201 W. UNIVERSITY DR.
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-296-1411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH94412083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine