Provider Demographics
NPI:1346704657
Name:LOYOLA VELEZ, ALEJANDRO JOSE
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:JOSE
Last Name:LOYOLA VELEZ
Suffix:
Gender:M
Credentials:
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 959
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0959
Mailing Address - Country:US
Mailing Address - Phone:787-647-3551
Mailing Address - Fax:
Practice Address - Street 1:74 CALLE 9
Practice Address - Street 2:URB LAMELA
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-0959
Practice Address - Country:US
Practice Address - Phone:787-647-3551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR023687207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine