Provider Demographics
NPI:1861501918
Name:VELAZQUEZ ARROYO, FERNANDO (MD)
Entity Type:Individual
Prefix:MR
First Name:FERNANDO
Middle Name:
Last Name:VELAZQUEZ ARROYO
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:PO BOX 8788
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:787-744-6412
Mailing Address - Fax:787-744-6412
Practice Address - Street 1:VILLA DEL CARMEN I 19
Practice Address - Street 2:URB MARIOLGA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-747-5297
Practice Address - Fax:787-747-5297
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11085207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
212551OtherPREFERRED HEALTH PLAN
83674OtherTRIPLE S
7250213OtherHUMANA HEALTH INSURANCE
060594OtherLA CRUZ AZUL DE PUERTO RI
0083674Medicare ID - Type Unspecified
060594OtherLA CRUZ AZUL DE PUERTO RI
83674OtherTRIPLE S