Provider Demographics
NPI:1639796691
Name:VELEZ VELEZ, VERONICA (DC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:VELEZ VELEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 AVE GENERAL VALERO STE 406
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-3992
Mailing Address - Country:US
Mailing Address - Phone:787-655-0101
Mailing Address - Fax:
Practice Address - Street 1:410 AVE GENERAL VALERO STE 406
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-3992
Practice Address - Country:US
Practice Address - Phone:787-655-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty