Provider Demographics
NPI:1932656063
Name:VELEZ, MARCOS J (PHARMACY TECH)
Entity Type:Individual
Prefix:MR
First Name:MARCOS
Middle Name:J
Last Name:VELEZ
Suffix:
Gender:M
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 O MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00680
Mailing Address - Country:UM
Mailing Address - Phone:787-265-3330
Mailing Address - Fax:787-834-9408
Practice Address - Street 1:114 O MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-265-3330
Practice Address - Fax:787-834-9408
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8757183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician