Provider Demographics
NPI:1669063780
Name:DELIZ VELEZ, JULIANNA M (MD)
Entity type:Individual
Prefix:DR
First Name:JULIANNA
Middle Name:M
Last Name:DELIZ VELEZ
Suffix:
Gender:F
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 747
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-0747
Mailing Address - Country:US
Mailing Address - Phone:787-340-0987
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE YAGUEZ
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2416
Practice Address - Country:US
Practice Address - Phone:787-340-0987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22172208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice