Provider Demographics
NPI:1790943264
Name:DR RAMON A VELEZ ARCE CSP
Entity Type:Organization
Organization Name:DR RAMON A VELEZ ARCE CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:VELEZ-ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-898-5530
Mailing Address - Street 1:55 ESTRELLA ST N SUITE 1
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-2558
Mailing Address - Country:US
Mailing Address - Phone:787-898-5530
Mailing Address - Fax:787-820-6906
Practice Address - Street 1:55 CALLE ESTRELLA N STE 1
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2544
Practice Address - Country:US
Practice Address - Phone:787-898-5530
Practice Address - Fax:787-820-6906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty