Provider Demographics
NPI:1891738092
Name:VELEZ-RIVERA, CARLOS A (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:VELEZ-RIVERA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1184 CALLE ANDRES SEGOVIA
Mailing Address - Street 2:URB. PALACIOS DE MARBELLA
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-5228
Mailing Address - Country:US
Mailing Address - Phone:787-799-7442
Mailing Address - Fax:787-787-9533
Practice Address - Street 1:#68 CALLE SANTA CRUZ OFFICE
Practice Address - Street 2:SAN PABLO PATHOLOGY GROUP 403-404 TORRE SAN PABLO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-787-9481
Practice Address - Fax:787-787-9533
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
PR12121207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH67023Medicare UPIN