Provider Demographics
NPI:1184601833
Name:VELEZ-MORALES, YOLANDA MARIA (PH T)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:MARIA
Last Name:VELEZ-MORALES
Suffix:
Gender:F
Credentials:PH T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 VILLA CANONA
Mailing Address - Street 2:PARC VIEJAS AGUILITA
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-837-6623
Mailing Address - Fax:787-617-5532
Practice Address - Street 1:HC 4 BOX 7196
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9602
Practice Address - Country:US
Practice Address - Phone:787-837-6623
Practice Address - Fax:787-617-5532
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4523183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4523OtherPHARMACY TECHNICIAN