Provider Demographics
NPI:1184033789
Name:KARLA F VELEZ-MEDICINA INTERNA CSP
Entity Type:Organization
Organization Name:KARLA F VELEZ-MEDICINA INTERNA CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:F
Authorized Official - Last Name:VELEZ RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-376-0407
Mailing Address - Street 1:PO BOX 6848
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-6848
Mailing Address - Country:US
Mailing Address - Phone:787-615-9406
Mailing Address - Fax:787-652-4510
Practice Address - Street 1:410 AVE HOSTOS CENTRO MEDICO
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681-0600
Practice Address - Country:US
Practice Address - Phone:787-652-9200
Practice Address - Fax:787-652-4510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARLA VELEZ-MEDICINA INTERNA CSP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18033207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty