Provider Demographics
NPI:1164716767
Name:VELEZ, CARMEN R (RPH)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:R
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:COMANDANTE & CAMPO RICO
Mailing Address - Street 2:WALGREENS 2803
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982
Mailing Address - Country:US
Mailing Address - Phone:787-776-2001
Mailing Address - Fax:787-776-2015
Practice Address - Street 1:21-4 CALLE 17
Practice Address - Street 2:SABANA GARDENS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-2939
Practice Address - Country:US
Practice Address - Phone:787-776-2001
Practice Address - Fax:787-776-2015
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist