Provider Demographics
NPI:1346303880
Name:SALAMONE VELILLA, LAWRENCE F (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:F
Last Name:SALAMONE VELILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:CALLE #1 C12 VILLAS DEL PILAR
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-720-1960
Mailing Address - Fax:787-751-5653
Practice Address - Street 1:735 PONCE DE LEON
Practice Address - Street 2:SUITE 211 TORRE DE AUXILIO MUTUO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-753-6170
Practice Address - Fax:787-751-5653
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7158207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
98753Medicare ID - Type Unspecified
D26737Medicare UPIN