Provider Demographics
NPI:1184743254
Name:VELEZ RIVERA, MAYRA (MD)
Entity type:Individual
Prefix:DR
First Name:MAYRA
Middle Name:
Last Name:VELEZ RIVERA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:20 URB VILLA BLANCA
Mailing Address - Street 2:PMB 611
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-748-3818
Mailing Address - Fax:787-748-3818
Practice Address - Street 1:HOSPITAL MENONITA CAYEY CARR 14 KM 72.0 BO RINCON
Practice Address - Street 2:SEC LOMAS
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-2800
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:787-535-1012
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2019-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12905207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH64216Medicare UPIN