Provider Demographics
NPI:1972640209
Name:LOPEZ VELEZ, ELIUD (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIUD
Middle Name:
Last Name:LOPEZ VELEZ
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 364747
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4747
Mailing Address - Country:US
Mailing Address - Phone:787-759-7822
Mailing Address - Fax:787-759-8887
Practice Address - Street 1:CONDOMINIO EL CENTRO II LOCAL 21
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-759-7822
Practice Address - Fax:787-759-8887
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2675207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC83652Medicare UPIN