Provider Demographics
NPI:1881058337
Name:VELEZ WEBER, RAUL ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:ANTONIO
Last Name:VELEZ WEBER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CALLE SAN AGUSTIN
Mailing Address - Street 2:URB. PONCE DE LEON
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-5121
Mailing Address - Country:US
Mailing Address - Phone:787-239-3433
Mailing Address - Fax:
Practice Address - Street 1:PLAZA DEL MERCADO LOLITA MONTALVO CORDERO
Practice Address - Street 2:CALLE CARBONELL 12. SUITE 10
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:939-357-1789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19304208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice