Provider Demographics
NPI:1316008154
Name:VELAZQUEZ, NORMA
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:
Last Name:VELAZQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NORMA
Other - Middle Name:
Other - Last Name:VELAZQUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 HACIENDA QUILINCHINI
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-1906
Mailing Address - Country:US
Mailing Address - Phone:787-873-6010
Mailing Address - Fax:787-804-0950
Practice Address - Street 1:4 HACIENDA QUILINCHINI
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1906
Practice Address - Country:US
Practice Address - Phone:787-873-6010
Practice Address - Fax:787-804-0950
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist