Provider Demographics
NPI:1831218379
Name:VELEZ, ANNETTE
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 CALLE WASHINGTON
Mailing Address - Street 2:JARDINES DE CASA BLANCA
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3631
Mailing Address - Country:US
Mailing Address - Phone:787-251-6071
Mailing Address - Fax:
Practice Address - Street 1:175 CALLE WASHINGTON
Practice Address - Street 2:JARDINES DE CASA BLANCA
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-3631
Practice Address - Country:US
Practice Address - Phone:787-251-6071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist