Provider Demographics
NPI:1730102997
Name:VELEZ RAMIREZ, GISELA (MD)
Entity Type:Individual
Prefix:DR
First Name:GISELA
Middle Name:
Last Name:VELEZ RAMIREZ
Suffix:
Gender:F
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 446
Mailing Address - Street 2:
Mailing Address - City:GUANICA
Mailing Address - State:PR
Mailing Address - Zip Code:00653-0446
Mailing Address - Country:US
Mailing Address - Phone:787-617-5961
Mailing Address - Fax:787-992-7199
Practice Address - Street 1:65 INFANTERIA A1
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-992-7199
Practice Address - Fax:787-992-7199
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15915208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHR994AMedicare PIN