Provider Demographics
NPI:1902011166
Name:VELEZ, GERMAN (RPH)
Entity Type:Individual
Prefix:
First Name:GERMAN
Middle Name:
Last Name:VELEZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 BLVD. DE LOS ARBOLES
Mailing Address - Street 2:LOS ARBOLES DE MONTEHIDRA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00626-7114
Mailing Address - Country:US
Mailing Address - Phone:787-287-1078
Mailing Address - Fax:
Practice Address - Street 1:BO MONACILLOS, CENTRO MEDICO DE PR
Practice Address - Street 2:HOSPITAL SAN JUAN
Practice Address - City:00926
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-250-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3505183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3505OtherPHARMACIST LICENSE