Provider Demographics
NPI:1467187500
Name:VELEZ-MORALES, SORIMAR (NL)
Entity Type:Individual
Prefix:MRS
First Name:SORIMAR
Middle Name:
Last Name:VELEZ-MORALES
Suffix:
Gender:F
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:Q9 CALLE 11
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-2126
Mailing Address - Country:US
Mailing Address - Phone:787-449-7750
Mailing Address - Fax:
Practice Address - Street 1:Q9 CALLE 11
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-2126
Practice Address - Country:US
Practice Address - Phone:787-449-7750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR228175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath