Provider Demographics
NPI:1396721304
Name:VELEZ, ANGEL DANIEL (MD)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:DANIEL
Last Name:VELEZ
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:PO BOX 19450
Mailing Address - Street 2:7 DEZ JUNCOS STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1450
Mailing Address - Country:US
Mailing Address - Phone:787-982-0088
Mailing Address - Fax:787-982-0091
Practice Address - Street 1:CALLE DEL PARQUE 607 A
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-2307
Practice Address - Country:US
Practice Address - Phone:787-982-0088
Practice Address - Fax:787-982-0091
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11299207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0087701Medicare ID - Type Unspecified
G40349Medicare UPIN