Provider Demographics
NPI:1760469332
Name:VELEZ CORTES, SOL E (MD)
Entity Type:Individual
Prefix:MRS
First Name:SOL
Middle Name:E
Last Name:VELEZ CORTES
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 1:2320 S SEACREST BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6516
Mailing Address - Country:US
Mailing Address - Phone:561-737-6060
Mailing Address - Fax:561-374-9946
Practice Address - Street 1:2320 S SEACREST BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6516
Practice Address - Country:US
Practice Address - Phone:561-737-6060
Practice Address - Fax:561-509-9534
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81090207R00000X
FLME 0081090207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263277200Medicaid
E6736AMedicare ID - Type Unspecified
FL263277200Medicaid