Provider Demographics
NPI:1568448868
Name:VELEZ RODRIGUEZ, HERMINIO (MD)
Entity Type:Individual
Prefix:DR
First Name:HERMINIO
Middle Name:
Last Name:VELEZ RODRIGUEZ
Suffix:
Gender:M
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:PO BOX 687
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0687
Mailing Address - Country:US
Mailing Address - Phone:787-892-2167
Mailing Address - Fax:787-873-3110
Practice Address - Street 1:8 BETANCES STREET
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637
Practice Address - Country:US
Practice Address - Phone:787-873-3110
Practice Address - Fax:787-873-3110
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10532207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR209566OtherPREFERRED HEALTH
PR2584OtherMEDICARE PREFERRED
PR8-2981-VEOtherSSS
PR069535OtherCRUZ AZUL
PR6830004OtherHUMANA
PR3585-5 ESP 5023OtherPROSSAM
PR601057OtherMMM
PR3585-5 ESP 5023OtherPROSSAM
PR8-2981-VEOtherSSS