Provider Demographics
NPI:1720070147
Name:VELEZ-TORRES, CARLOS (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:VELEZ-TORRES
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 1:5 CALLE SANTIAGO IGLESIAS
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-2304
Mailing Address - Country:US
Mailing Address - Phone:787-260-0087
Mailing Address - Fax:787-260-0087
Practice Address - Street 1:5 CALLE SANTIAGO IGLESIAS
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2304
Practice Address - Country:US
Practice Address - Phone:787-260-0087
Practice Address - Fax:787-260-0087
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7428174400000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD08442Medicare UPIN
PR27955Medicare ID - Type Unspecified