Provider Demographics
NPI:1356479638
Name:LUIS F VELEZ QUINONES, MD, CSP
Entity type:Organization
Organization Name:LUIS F VELEZ QUINONES, MD, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:VELEZ-QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-878-8686
Mailing Address - Street 1:PO BOX 141239
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1239
Mailing Address - Country:US
Mailing Address - Phone:787-878-8686
Mailing Address - Fax:
Practice Address - Street 1:ROAD 129, KM. 0.1, CAYETANO COLL Y TOSTE HOSPITAL
Practice Address - Street 2:SUITE 109 - LOBBY
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614
Practice Address - Country:US
Practice Address - Phone:787-878-8686
Practice Address - Fax:787-879-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9701207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE77125Medicare UPIN
PR82261Medicare ID - Type Unspecified