Provider Demographics
NPI:1649849415
Name:VELAZQUEZ-GUZMAN, MILAGROS (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:
Last Name:VELAZQUEZ-GUZMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 25199
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-9749
Mailing Address - Country:US
Mailing Address - Phone:939-644-5244
Mailing Address - Fax:
Practice Address - Street 1:BO PUGNADO AFUERA
Practice Address - Street 2:SECTOR LA LINEA KM 0.7
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:939-644-5244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR86609163W00000X, 163WH0200X, 163WP2201X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care