Provider Demographics
NPI:1255188298
Name:VELAZQUEZ MACHADO, ALEXIS JOSE (MD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:JOSE
Last Name:VELAZQUEZ MACHADO
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:URB DOMENECH 268 CALLE ARIES
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-3520
Mailing Address - Country:US
Mailing Address - Phone:787-508-3799
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 173.4
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-659-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program