Provider Demographics
NPI:1699353607
Name:VELEZ FIGUEROA, LUIS ANTONIO
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:ANTONIO
Last Name:VELEZ FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PROSPECT ST APT 539
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7816
Mailing Address - Country:US
Mailing Address - Phone:787-425-9473
Mailing Address - Fax:
Practice Address - Street 1:44 PROSPECT ST APT 539
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7816
Practice Address - Country:US
Practice Address - Phone:787-425-9473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program