Provider Demographics
NPI:1316189756
Name:VELEZ-RODRIGUEZ, FRANCES M (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:VELEZ-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4330
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-4330
Mailing Address - Country:US
Mailing Address - Phone:970-926-6340
Mailing Address - Fax:970-926-6348
Practice Address - Street 1:108 S FRONTAGE RD W STE 101
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-5087
Practice Address - Country:US
Practice Address - Phone:970-926-6340
Practice Address - Fax:970-926-6348
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ58267207Q00000X
MN65049207Q00000X
TXP7999207Q00000X
NV18655207Q00000X
WAMD60938697207Q00000X
WY12001C207Q00000X
IL036148351207Q00000X
IDMC-0178207Q00000X
COCDRH.0061544207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX462002YM8AMedicare PIN