Provider Demographics
NPI:1700087731
Name:VELEZ BERMUDEZ, ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:VELEZ BERMUDEZ
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:FERNANDEZ JUNCOS STATION PO BOX 8477
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0477
Mailing Address - Country:US
Mailing Address - Phone:787-562-5168
Mailing Address - Fax:787-781-2063
Practice Address - Street 1:82 CALLE ALMACIGOS UR CAUTIVA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-3122
Practice Address - Country:US
Practice Address - Phone:787-399-1040
Practice Address - Fax:787-781-2063
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR014573207P00000X
PR14573207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine