Provider Demographics
NPI:1093445603
Name:VELEZ-TORRES, ELENA ISABEL
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:ISABEL
Last Name:VELEZ-TORRES
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:CALLE JOBOS, CONDOMINIO PASEOS JARDINES DEL JOBO
Mailing Address - Street 2:APT B7
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-231-9816
Mailing Address - Fax:
Practice Address - Street 1:CALLE JOBOS, CONDOMINIO PASEOS JARDINES DEL JOBO
Practice Address - Street 2:APT B7
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-231-9816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program