Provider Demographics
NPI:1518967900
Name:VELEZ RAMOS, WILLIAM (OD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:VELEZ RAMOS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1853
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1853
Mailing Address - Country:US
Mailing Address - Phone:787-714-2520
Mailing Address - Fax:
Practice Address - Street 1:CARR. 734 KM 0.6 BO. ARENAS
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-714-2520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR413152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1518967900Medicaid
PR7390031OtherHUMANA HEALTHPLAN
PR077130OtherCRUZ AZUL DE P.R.
PR50049 VEOtherTRIPLE S INS.