Provider Demographics
NPI:1235161134
Name:VELEZ ORTIZ, MILDRED IVETTE (MD)
Entity Type:Individual
Prefix:
First Name:MILDRED
Middle Name:IVETTE
Last Name:VELEZ ORTIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RVDO DOMINGO MARRERO NAVARRO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925
Mailing Address - Country:US
Mailing Address - Phone:787-759-6901
Mailing Address - Fax:787-282-0869
Practice Address - Street 1:4 RVDO DOMINGO MARRERO NAVARRO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-759-6901
Practice Address - Fax:787-282-0869
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15347207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology