| Organization Name: | JEV PROFESSIONAL HEALTHCARE PSC |
| NPI Number: | 1144667213 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENE E VELEZ RODRIGUEZ (MD GENERAL PRACTICE) |
| Mailing Address: | 2122 Calle Onfala Alto Apolo Guaynabo |
| State: | PR US |
| Postal Code: | 009694932 |
| Phone Number: | 7872649806 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2013 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |