Provider Demographics
NPI:1043965171
Name:ENDOCRINOLOGY& ANTI-AGING CENTER
Entity Type:Organization
Organization Name:ENDOCRINOLOGY& ANTI-AGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ MAYMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-405-0577
Mailing Address - Street 1:535 AVE. ESCORIAL
Mailing Address - Street 2:URB. CAPARRA HEIGHTS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-405-0577
Mailing Address - Fax:
Practice Address - Street 1:535 AVE. ESCORIAL
Practice Address - Street 2:URB. CAPARRA HEIGHTS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-405-0577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty