Provider Demographics
NPI:1376309377
Name:VELEZ, CAMILLE AIMEE (MD STUDENT)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:AIMEE
Last Name:VELEZ
Suffix:
Gender:F
Credentials:MD STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 CALLE ELLIOT PL APT 301
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3195
Mailing Address - Country:US
Mailing Address - Phone:787-241-9658
Mailing Address - Fax:
Practice Address - Street 1:603 CALLE ELLIOT PL APT 301
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3195
Practice Address - Country:US
Practice Address - Phone:787-241-9658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program