Provider Demographics
NPI:1316194467
Name:VELEZ MEDICAL OFFICES P.S.C.
Entity Type:Organization
Organization Name:VELEZ MEDICAL OFFICES P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:I
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-312-6708
Mailing Address - Street 1:P.O. BOX 140203
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0203
Mailing Address - Country:US
Mailing Address - Phone:787-895-6322
Mailing Address - Fax:787-985-6322
Practice Address - Street 1:CALLE TEIQUE LINARES
Practice Address - Street 2:#163-B ESQUINA LAMELA
Practice Address - City:QUEBRADILLA
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-985-6322
Practice Address - Fax:787-985-6322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16398208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-54955Medicare UPIN
2-4507Medicare PIN