Provider Demographics
NPI:1982717286
Name:VELEZ MIRO, IVAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:IVAN
Middle Name:F
Last Name:VELEZ MIRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:525 AVE FD ROOSEVELT
Mailing Address - Street 2:STE 401 LA TORRE DE PLAZA LAS AMERICAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-8001
Mailing Address - Country:US
Mailing Address - Phone:787-237-0554
Mailing Address - Fax:787-282-0472
Practice Address - Street 1:525 AVE FD ROOSEVELT
Practice Address - Street 2:STE 401 LA TORRE DE PLAZA LAS AMERICAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-8001
Practice Address - Country:US
Practice Address - Phone:787-237-0554
Practice Address - Fax:787-282-0472
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2012-10-04
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Provider Licenses
StateLicense IDTaxonomies
PR16235207R00000X, 207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine