Provider Demographics
NPI:1578907614
Name:VELAZQUEZ LAMELA, MARIA GABRIELA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:GABRIELA
Last Name:VELAZQUEZ LAMELA
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:PLAZA BAIROA
Mailing Address - Street 2:1 AVE FOMENTO SUITE 1
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-641-3030
Mailing Address - Fax:787-641-3031
Practice Address - Street 1:PLAZA BAIROA
Practice Address - Street 2:PR #1 AVE SAKURA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0092
Practice Address - Country:US
Practice Address - Phone:787-641-3030
Practice Address - Fax:787-641-3031
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21101207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Multi-Specialty