Provider Demographics
NPI:1952405425
Name:VELEZ CORTES, HECTOR ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:ANTONIO
Last Name:VELEZ CORTES
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:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0495
Mailing Address - Country:US
Mailing Address - Phone:787-210-4164
Mailing Address - Fax:
Practice Address - Street 1:1217 AVE HOSTOS
Practice Address - Street 2:SUITE 101
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0953
Practice Address - Country:US
Practice Address - Phone:787-259-7807
Practice Address - Fax:787-840-6448
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14795207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI72687Medicare UPIN