Provider Demographics
NPI:1811724958
Name:VELEZ PARADIS, DAVID ANDRES (RN)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANDRES
Last Name:VELEZ PARADIS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18-15 CALLE 17
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-6503
Mailing Address - Country:US
Mailing Address - Phone:787-470-9146
Mailing Address - Fax:
Practice Address - Street 1:18-15 CALLE 17
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6503
Practice Address - Country:US
Practice Address - Phone:787-470-9146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27759163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse