Provider Demographics
NPI:1356531222
Name:VELEZ, GISELLE S (MD)
Entity type:Individual
Prefix:DR
First Name:GISELLE
Middle Name:S
Last Name:VELEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA GISELLE
Other - Middle Name:S
Other - Last Name:VELEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE
Mailing Address - Street 2:M2-ANNEX
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-0346
Mailing Address - Fax:
Practice Address - Street 1:CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE
Practice Address - Street 2:M2-ANNEX
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-0346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35089097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2761453Medicaid
OHVE4217461Medicare PIN