Provider Demographics
NPI:1598487100
Name:ROMAN VELEZ, FARAH MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:MARIE
Last Name:ROMAN VELEZ
Suffix:
Gender:F
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:PO BOX 1281
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1281
Mailing Address - Country:US
Mailing Address - Phone:787-318-6303
Mailing Address - Fax:
Practice Address - Street 1:RR 5 BOX 4699
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-9732
Practice Address - Country:US
Practice Address - Phone:787-799-4699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PR7087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program