Provider Demographics
NPI:1790747855
Name:VELEZ, WANDSY MILAGROS (MD)
Entity Type:Individual
Prefix:DR
First Name:WANDSY
Middle Name:MILAGROS
Last Name:VELEZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1095 WILSON APT 1501
Mailing Address - Street 2:COND PUERTA DEL CONDADO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-625-7766
Mailing Address - Fax:787-625-7768
Practice Address - Street 1:101 AVE SAN PATRICIO STE 990
Practice Address - Street 2:MARAMAR PLAZA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2691
Practice Address - Country:US
Practice Address - Phone:787-625-7766
Practice Address - Fax:787-625-7768
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2011-10-06
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Provider Licenses
StateLicense IDTaxonomies
PR12518207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF97928Medicare UPIN
PR0089038Medicare ID - Type UnspecifiedMEDICARE