Provider Demographics
NPI:1649563511
Name:VELEZ RUIZ, LUISA MARIA (PHARM D)
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:MARIA
Last Name:VELEZ RUIZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE EMILIO FAGOT STE 1
Mailing Address - Street 2:PLAZA FAGOT 2979
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-3721
Mailing Address - Country:US
Mailing Address - Phone:787-841-2135
Mailing Address - Fax:787-812-2176
Practice Address - Street 1:AVE EMILIO FAGOT STE 1
Practice Address - Street 2:PLAZA FAGOT 2979
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-3721
Practice Address - Country:US
Practice Address - Phone:787-841-2135
Practice Address - Fax:787-812-2176
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist