Provider Demographics
NPI:1235278516
Name:VELAZQUEZ-ORTIZ, ELENA (DOCTOR RHEUMATOLOGY)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:VELAZQUEZ-ORTIZ
Suffix:
Gender:F
Credentials:DOCTOR RHEUMATOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LAS NUBES
Mailing Address - Street 2:29 VIA NARANJALES
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-378-6139
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO MEDICO SANTA CRUZ
Practice Address - Street 2:73 CALLE SANTA CRUZ- OFIC 216
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6941
Practice Address - Country:US
Practice Address - Phone:787-787-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11478207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F87478Medicare UPIN
0088861Medicare ID - Type Unspecified