Provider Demographics
NPI:1326038423
Name:VELEZ RIVERA, ZUNILDA (DPM)
Entity Type:Individual
Prefix:DR
First Name:ZUNILDA
Middle Name:
Last Name:VELEZ RIVERA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7575
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7575
Mailing Address - Country:US
Mailing Address - Phone:787-848-6221
Mailing Address - Fax:787-848-6221
Practice Address - Street 1:EDIFICIO MARVESA 472 AVE TITO CASTRO
Practice Address - Street 2:STE 405
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-848-6221
Practice Address - Fax:787-848-6221
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0065213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
48074Medicare ID - Type Unspecified
U62116Medicare UPIN