Provider Demographics
NPI:1184829913
Name:CADIZ VELAZQUEZ, JULIO LUIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO LUIS
Middle Name:
Last Name:CADIZ VELAZQUEZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A25 CALLE MARGINAL
Mailing Address - Street 2:URB. VILLAS DEL SAGRADO CORAZON
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2567
Mailing Address - Country:US
Mailing Address - Phone:787-843-5546
Mailing Address - Fax:
Practice Address - Street 1:A25 CALLE MARGINAL
Practice Address - Street 2:URB. VILLAS DEL SAGRADO CORAZON
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2567
Practice Address - Country:US
Practice Address - Phone:787-843-5546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12707251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare