Doctor Name: | DR. JOHN NELSON VELAZQUEZ |
NPI Number: | 1205854569 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15213 |
Business Practice Address: | Street 7 H 4 Urb. Paseo Alta Vista Toa Alta, PR - 009530000 |
Business Phone Number: | 7877307435 |
Business Fax Number: | 7872035029 |
Mailing Address: | Street 7 H 4, Urb. Paseo Alta Vista TOA ALTA |
State: | PR |
Postal Code: | 00953 |
Phone Number: | 7877307435 |
Fax Number: | 7872035029 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |