Provider Demographics
NPI:1437396702
Name:VELEZ-ACARON, LEYKZA B (DMD)
Entity Type:Individual
Prefix:DR
First Name:LEYKZA
Middle Name:B
Last Name:VELEZ-ACARON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LEYKZA
Other - Middle Name:
Other - Last Name:VELEZ-ACARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:Z30 AVE LAUREL
Mailing Address - Street 2:URB LOMAS VERDES
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3244
Mailing Address - Country:US
Mailing Address - Phone:787-787-2384
Mailing Address - Fax:
Practice Address - Street 1:Z30 AVE LAUREL
Practice Address - Street 2:URB LOMAS VERDES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3244
Practice Address - Country:US
Practice Address - Phone:787-787-2384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2795122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0221XDental ProvidersDentistPediatric Dentistry