Provider Demographics
NPI:1821978214
Name:VELASQUEZ LARIOS, ENA ARACELY
Entity type:Individual
Prefix:
First Name:ENA
Middle Name:ARACELY
Last Name:VELASQUEZ LARIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7124 VARNUM ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2112
Mailing Address - Country:US
Mailing Address - Phone:240-481-4627
Mailing Address - Fax:
Practice Address - Street 1:7124 VARNUM ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-2112
Practice Address - Country:US
Practice Address - Phone:240-481-4627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide