Provider Demographics
NPI:1518223858
Name:VELEZ, SONAIRA CAMPOS
Entity Type:Individual
Prefix:MRS
First Name:SONAIRA
Middle Name:CAMPOS
Last Name:VELEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JARDINES DEL CARIBE
Mailing Address - Street 2:CALLE 34 HH34
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:PK
Mailing Address - Phone:787-397-2755
Mailing Address - Fax:
Practice Address - Street 1:URB. JARDINES DEL CARIBE
Practice Address - Street 2:34 HH34
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-397-2755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR47317163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse