Provider Demographics
NPI:1366673246
Name:CARO VELEZ, ERIK JAVIER (MD)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:JAVIER
Last Name:CARO VELEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ERIK
Other - Middle Name:J
Other - Last Name:CARO VELEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:67 GIRALDA STREET
Mailing Address - Street 2:URB. SULTANA
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-519-4795
Mailing Address - Fax:939-649-4007
Practice Address - Street 1:MVC BUILDING STE 102
Practice Address - Street 2:RAMON EMETERIO BETANCES 7 ESQ. DE DIEGO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1085
Practice Address - Country:US
Practice Address - Phone:787-983-0911
Practice Address - Fax:939-649-4007
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17659208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR039221700Medicaid