Provider Demographics
NPI:1336815299
Name:VELEZ ALVARADO, GIANCARLO (MD)
Entity Type:Individual
Prefix:MR
First Name:GIANCARLO
Middle Name:
Last Name:VELEZ ALVARADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GIANCARLO
Other - Middle Name:
Other - Last Name:VELEZ ALVARADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:URB. SAN ANTONIO DONCELLA 1724
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-630-1782
Mailing Address - Fax:
Practice Address - Street 1:URB. SAN ANTONIO DONCELLA 1724
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-630-1782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program