Provider Demographics
NPI:1770678542
Name:VELEZ-BORRAS, JESUS R (MD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:R
Last Name:VELEZ-BORRAS
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 1:62 CALLE FALCON
Mailing Address - Street 2:URB MONTEHIEDRA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9536
Mailing Address - Country:US
Mailing Address - Phone:787-751-1166
Mailing Address - Fax:787-751-1089
Practice Address - Street 1:500 AVENIDA DOMENECH
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3713
Practice Address - Country:US
Practice Address - Phone:787-751-1166
Practice Address - Fax:787-751-1089
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR42432084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology