Provider Demographics
NPI:1033312400
Name:VELEZ, NELIDA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NELIDA
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BARTOLOMEI
Mailing Address - Street 2:URB. SAN JOAQUIN
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601
Mailing Address - Country:US
Mailing Address - Phone:787-829-2907
Mailing Address - Fax:
Practice Address - Street 1:36 BARTOLOMEI
Practice Address - Street 2:URB. SAN JOAQUIN
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601
Practice Address - Country:US
Practice Address - Phone:787-829-2907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist