Provider Demographics
NPI:1003814252
Name:VELAZQUEZ, ZULMA J (MD)
Entity Type:Individual
Prefix:DR
First Name:ZULMA
Middle Name:J
Last Name:VELAZQUEZ
Suffix:
Gender:F
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:PO BOX 242
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-0242
Mailing Address - Country:US
Mailing Address - Phone:787-733-1337
Mailing Address - Fax:787-733-1313
Practice Address - Street 1:33 CALLE VICENTE DE LEON
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-3318
Practice Address - Country:US
Practice Address - Phone:787-733-1337
Practice Address - Fax:787-733-1337
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9118208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics