Provider Demographics
NPI:1710009527
Name:VELEZ, YOLANDA (PT)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 CALLE MAJAGUA
Mailing Address - Street 2:CIUDAD JARDIN III
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4821
Mailing Address - Country:US
Mailing Address - Phone:787-799-2664
Mailing Address - Fax:787-799-2664
Practice Address - Street 1:UU - 43 CALLE 30
Practice Address - Street 2:SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4701
Practice Address - Country:US
Practice Address - Phone:787-787-8669
Practice Address - Fax:787-786-7865
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1179225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2131103OtherDRIVERS LICENSE