Provider Demographics
NPI:1710118815
Name:RODRIGUEZ VELEZ, JERIMER JESUS (MD)
Entity Type:Individual
Prefix:DR
First Name:JERIMER
Middle Name:JESUS
Last Name:RODRIGUEZ VELEZ
Suffix:
Gender:M
Credentials:MD
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 876
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0876
Mailing Address - Country:US
Mailing Address - Phone:787-506-0994
Mailing Address - Fax:
Practice Address - Street 1:BARRIO ALMACIGO BAJO KM 0 HTM 1
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-506-0994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17697208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice