Provider Demographics
NPI:1467866970
Name:FAMILY & OB GYN HEALTH CARE
Entity Type:Organization
Organization Name:FAMILY & OB GYN HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-526-3389
Mailing Address - Street 1:A19 CALLE 1
Mailing Address - Street 2:VILLAS DE LEVITOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4275
Mailing Address - Country:US
Mailing Address - Phone:787-526-3389
Mailing Address - Fax:787-784-6667
Practice Address - Street 1:112 CALLE ARZUAGA
Practice Address - Street 2:SUIT 606 CONDOMINIO MEDINA CENTER
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925-3321
Practice Address - Country:US
Practice Address - Phone:787-764-8296
Practice Address - Fax:787-764-8296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7539207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHF010AMedicare PIN