Provider Demographics
NPI:1932310935
Name:VELEZ, PEDRO JUAN (MD)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:JUAN
Last Name:VELEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:#183 ADOQUINES ST
Mailing Address - Street 2:URB. LOS FAROLES
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-0000
Mailing Address - Country:US
Mailing Address - Phone:787-462-5728
Mailing Address - Fax:787-761-3082
Practice Address - Street 1:#432 SAN CLAUDIO AVENUE
Practice Address - Street 2:URB SAGRADO CORAZON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4222
Practice Address - Country:US
Practice Address - Phone:787-761-3082
Practice Address - Fax:787-761-3082
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
PR14684208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR14684OtherSTATE LICENSE MD
PRDM13757-0OtherSTATE NARCOTICS
PRBV8100000OtherFEDERAL DEA