Provider Demographics
NPI:1508214875
Name:ROLDAN VELEZ, ADRIANA M (MD)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:M
Last Name:ROLDAN VELEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. CASA LINDA 1 SUITE 101
Mailing Address - Street 2:CARR 177 LOS FILTROS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8998
Mailing Address - Country:US
Mailing Address - Phone:787-789-1996
Mailing Address - Fax:
Practice Address - Street 1:CARR 172 KM 13.5
Practice Address - Street 2:AVE EL JIBARO
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19274208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice