Provider Demographics
NPI:1093350381
Name:VELEZ, JENILSA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JENILSA
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:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-0664
Mailing Address - Country:US
Mailing Address - Phone:787-829-2480
Mailing Address - Fax:787-829-6000
Practice Address - Street 1:21 CALLE SAN JOAQUIN
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601-2254
Practice Address - Country:US
Practice Address - Phone:787-829-2480
Practice Address - Fax:787-829-6000
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist