Provider Demographics
NPI:1831307305
Name:VELEZ, LIZBETTE (TECH)
Entity Type:Individual
Prefix:MRS
First Name:LIZBETTE
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#514 CALLE NEPTUNO
Mailing Address - Street 2:URBANIZACION. VISTAS DE MONTE SOL
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-856-4046
Mailing Address - Fax:787-856-1922
Practice Address - Street 1:514 CALLE NEPTUNO
Practice Address - Street 2:URBANIZACION. VISTAS DE MONTE SOL
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4183
Practice Address - Country:US
Practice Address - Phone:787-856-4046
Practice Address - Fax:787-856-1922
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2458183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician