Provider Demographics
NPI:1568129989
Name:HERNANDEZ VELEZ, JAIME LUIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:LUIS
Last Name:HERNANDEZ VELEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 AVE SAN LUIS
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-3686
Mailing Address - Country:US
Mailing Address - Phone:787-815-0785
Mailing Address - Fax:
Practice Address - Street 1:580 AVE SAN LUIS
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3686
Practice Address - Country:US
Practice Address - Phone:787-815-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist